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Contact Information

GREG C DAVIS, D.C.
2240 MCCULLOCH BLVD N
SUITE C
LAKE HAVASU CITY, AZ86403
 Phone: 928-453-2225
 Fax: 928-453-4791
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for GREG C DAVIS · (Male)

NPI Number 1336257435
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 08/28/2006
Last updated 09/12/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 4259
  • AZ Other 0243840 BLUE CROSS PROVIDER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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