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Individual

DR. JOHN DAVID MCGRAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.,CCSP

Contact information

Practice address
565 MAIN ST, MANY, LA 71449-3028
(318) 256-6767
(318) 256-0793
Mailing address
565 MAIN ST, MANY, LA 71449-3028
(318) 256-6767
(318) 256-0793

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
1251
LA
111NS0005X
Sports Physician Chiropractor
1251
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
721511988
TAX ID
LA
Enumeration date
01/17/2007
Last updated
05/23/2011
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