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Individual

LARRY DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
3101 E SHEA BLVD STE 205, STE 205, PHOENIX, AZ 85028-3209
(602) 206-3701
(480) 404-7140
Mailing address
3101 E SHEA BLVD STE 205, STE 205, PHOENIX, AZ 85028-3209
(602) 206-3701
(480) 404-7140

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7667
AZ

Other

Enumeration date
01/08/2007
Last updated
11/07/2012
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