Individual
DR. ANTHONY JACOB DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4611 MORTENSEN RD, SUITE 103, AMES, IA 50014-6227
(515) 292-4988
(515) 292-4980
Mailing address
4611 MORTENSEN RD, SUITE 103, AMES, IA 50014-6227
(515) 292-4988
(515) 292-4980
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06450
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0265934
—
IA
01
—
45194
WELLMARK BC/BS OF IOWA
IA
Enumeration date
05/23/2006
Last updated
07/09/2007
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