| NPI | 1831849959 |
|---|---|
| Doing Business As | DAVENPORT CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHERYL POULSEN Office Manager 307-350-0413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-05-02 |