Organization
DAVIS CHIROPRACTIC CLINIC, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JAY DAVIS D.C. (PRESIDENT)
(580) 762-4476
Entity
Organization
Contact information
Practice address
102 N 5TH ST, PONCA CITY, OK 74601-4535
(580) 762-4476
(580) 762-7420
Mailing address
102 N 5TH ST, PONCA CITY, OK 74601-4535
(580) 762-4476
(580) 762-7420
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2609
OK
Other
Enumeration date
01/15/2007
Last updated
08/22/2020
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