Davidson Chiropractic Clinic - Evanston LLC

NPI #1023502408 in Evanston, Wyoming

Provider Information

NPI Number: 1023502408
Entity Type: Organization
Organization Name: Davidson Chiropractic Clinic - Evanston LLC
Primary Specialty: Chiropractor
Enumeration Date: Jun 19, 2018
Last Updated: Jun 19, 2018

Practice Location

Address: 195 FEATHER WAY STE A
City: Evanston
State: Wyoming
ZIP Code: 82930-9352
Phone: (307) 382-0600

Authorized Official

Name: DR. MICHAEL AARON DAVIDSON, DC
Title: DOCTOR/OWNER
Phone: (307) 382-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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