Individual
BRADLEY A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5650 MEXICO RD, STE 20, SAINT PETERS, MO 63376-1696
(636) 936-1100
(636) 936-1655
Mailing address
416 HARRINGTON PL, SAINT PETERS, MO 63376-7706
(636) 294-1125
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE006537
MO
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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