Individual
DR. DAVID GRANT DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2175 ROUTE 29 NORTH, EDINBURG, IL 62531
(217) 623-4505
(217) 623-4506
Mailing address
2175 ROUTE 29 NORTH, P.O. BOX 303, EDINBURG, IL 62531
(217) 623-4505
(217) 623-4506
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010457
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-0-A1-5058-0
BCBS
MI
Enumeration date
09/12/2006
Last updated
07/08/2007
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