| NPI | 1104692375 |
|---|---|
| Doing Business As | DAVIDSON CHIROPRACTIC CLINIC EVANSTON |
| Entity Type | Organization |
| Authorized Contact | JAY DEE MANGUM Owner/CEO 307-222-4322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |