Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 0902 | AL |
NPI | 1679612832 |
---|---|
Provider Name | Dr. Donald Davidson Ross JR. |
First Address | Huntsville, AL 35801-4416 |
Second Address | Huntsville, AL 35801-4416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2007 |
Last Update Date | 18/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T68561 | (02) | AL |