Dr. Greg C. Davis
Chiropractic Sports Physician
2240 Mcculloch Blvd N Ste C
Lake Havasu City
, Arizona 86403-6904
Dr. Greg C. Davis
Chiropractic Sports Physician
2240 Mcculloch Blvd N Ste C
Lake Havasu City
, Arizona 86403-6904
(928) 453-4791
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Greg C. Davis
- 2240 Mcculloch Blvd N Ste C
- Lake Havasu City, AZ
- Zip : 86403-6904
- Fax : (928) 453-4791
- Phone : (928) 453-2225
Second Address
- Dr. Greg C. Davis
- 2240 Mcculloch Blvd N Ste C
- Lake Havasu City, AZ
- Zip : 86403-6904
- Fax : (928) 453-4791
- Phone : (928) 453-2225
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 4259 | AZ |
National Provider Identifier
| NPI | 1336257435 |
|---|---|
| Provider Name | Dr. Greg C. Davis |
| First Address | Lake Havasu City, AZ 86403-6904 |
| Second Address | Lake Havasu City, AZ 86403-6904 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2006 |
| Last Update Date | 12/09/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0243840 | BLUE CROSS PROVIDER (01) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.