Organization
KRIS I. DAVIS, DC INC.
Active
Other names
Spinal Care Center of Utah
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DAVENPORT D.C. (MANAGER/CHIROPRACTOR)
(801) 475-1910
Entity
Organization
Contact information
Practice address
1186 E 4600 S, #220, OGDEN, UT 84403-4332
(801) 475-1910
(801) 475-4245
Mailing address
1186 E 4600 S, #220, OGDEN, UT 84403-4332
(801) 475-1910
(801) 475-4245
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6141291-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000060762
MEDICARE PTAN
UT
Enumeration date
05/13/2014
Last updated
05/13/2014
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