NPI 1417118498

Kris Davis, DC, INC.

Organisation Exclusive Provider Organization Ogden, UT

Practice location

Address: 1186 E 4600 S STE. 220, Ogden, UT 84403-4332
Phone: (801) 475-1800
Fax: (801) 475-0071
Mailing address: PO Box 150321, Ogden, UT 84415-0321

Authorised official

Name: Kris I. Davis
Title: Director
Phone: (801) 475-1800

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 3376391202 (UT)

Other Exclusive Provider Organization providers in Utah →

Registry record

NPI: 1417118498
Entity type: Organization
NPI issued: 23 Jun 2008
Record last updated: 23 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.