Davenport Chiropractic LLC

NPI #1124420955 in O Fallon, Missouri

Provider Information

NPI Number: 1124420955
Entity Type: Organization
Organization Name: Davenport Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Sep 24, 2014
Last Updated: Sep 24, 2014

Practice Location

Address: 1278 BRYAN RD
City: O Fallon
State: Missouri
ZIP Code: 63366-3771
Phone: (636) 614-0401

Authorized Official

Name: JESSICA DAVENPORT SMITH, DC
Title: OWNER
Phone: (636) 614-0401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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