Organization
CLAYTON DIRK DAVIS
Active
Other names
DAVIS CHIROPRACTIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYTON DIRK DAVIS D.C. (OWNER)
(870) 886-8711
Entity
Organization
Contact information
Practice address
201 E MAIN ST, WALNUT RIDGE, AR 72476-2438
(870) 886-8711
(870) 886-8712
Mailing address
201 E MAIN ST, P.O.BOX 307, WALNUT RIDGE, AR 72476-2438
(870) 886-8711
(870) 886-8712
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126071718
—
AR
01
—
59879
ABCBS
AR
Enumeration date
09/13/2007
Last updated
03/01/2012
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