NPI | 1831626993 |
---|---|
Former Legal Business Name | DAVIS SPINE CENTER |
Entity Type | Organization |
Authorized Contact | ORBIE TROY DAVIS Chiropractor/Owner 435-862-0125 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: UT 5322635-4405) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: UT 8328842-1202) |
Enumeration Date | 2017-05-18 |
Last Update Date | 2022-07-21 |