Individual
DR. DEREK C. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6003 OVERLAND RD, SUITE 301, BOISE, ID 83709-3073
(208) 703-7027
Mailing address
6003 OVERLAND RD, SUITE 301, BOISE, ID 83709-3073
(208) 703-7027
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA774
ID
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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