Organization
DAVIS CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN DAVIS D.C. (OWNER)
(636) 239-4454
Entity
Organization
Contact information
Practice address
819 W 5TH ST, WASHINGTON, MO 63090-1923
(636) 239-4454
Mailing address
819 W 5TH ST, WASHINGTON, MO 63090-1923
(636) 239-4454
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2011017579
MO
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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