| NPI | 1023502408 |
|---|---|
| Former Legal Business Name | DAVIDSON CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL AARON DAVIDSON Doctor/Owner 307-382-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |