Individual
DR. BRUCE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
110 MAIN ST, SUITE 101, EDMONDS, WA 98020-3190
(425) 774-2804
Mailing address
110 MAIN ST, SUITE 101, EDMONDS, WA 98020-3190
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
00003304
WA
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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