| NPI | 1154716645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH EVAN DAVIS Doctor Of Chiropractic 716-860-9523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3997) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |