Individual
KEITH W DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
815 E BASELINE RD STE 106, TEMPE, AZ 85283-1572
(480) 777-5130
Mailing address
815 E BASELINE RD STE 106, TEMPE, AZ 85283-1572
(480) 777-5130
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8635
AZ
Other
Enumeration date
10/17/2017
Last updated
01/07/2020
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