Individual
DR. COLBY IVAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4904 S POWER RD STE 105, MESA, AZ 85212-3610
(480) 634-7844
Mailing address
4904 S POWER RD STE 105, MESA, AZ 85212-3610
(480) 634-7844
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8486
AZ
208100000X
Physical Medicine & Rehabilitation Physician
5102
AZ
Other
Enumeration date
03/09/2018
Last updated
11/14/2018
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