Organization
DAVIS CHIROPRACTIC
Active
Organization
DAVIS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH G DAVIS DC (OWNER)
(701) 347-4006
Entity
Organization
Contact information
Practice address
772 FRONT STREET, BOX 518, CASSELTON, ND 58012-0518
(701) 347-4006
(701) 347-4247
Mailing address
722 FRONT ST, PO BOX 518, CASSELTON, ND 58012-3302
(701) 347-4006
(701) 347-4247
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
413
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13919
—
ND
Enumeration date
07/17/2014
Last updated
07/17/2014
Update your record
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