Individual
DR. BRADLEY A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
731 SABRINA DR, SUITE B, EAST PEORIA, IL 61611-3581
(309) 699-7222
Mailing address
731 SABRINA DR, SUITE B, EAST PEORIA, IL 61611-3581
(309) 699-7222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012215
IL
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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