Individual
DR. JAMES PATRICK DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1706 BRADY ST, SUITE 104, DAVENPORT, IA 52803-4712
(563) 650-5645
(563) 322-6228
Mailing address
1706 BRADY ST, SUITE 104, DAVENPORT, IA 52803-4712
(563) 650-5645
(563) 322-6228
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038005319
IL
111N00000X
Chiropractor
Primary
05075
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0225987
—
IA
Enumeration date
11/17/2006
Last updated
02/11/2010
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