| NPI | 1023563343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARET SCOTT DAVIS Co Owner And Doctor 760-983-9978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH11906) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH11913) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |