Whalio Doctors

NPI 1023143237

Darrell Wade Davis, DC

Practitioner Chiropractor Pocatello, ID

Practice location

Address
1155 Yellowstone Ave STE. F, Pocatello, ID 83201-4369
Phone
(208) 238-0002
Mailing address
1155 S. Yellowstone STE. F, Pocatello, ID 83201

Registered specialties

Chiropractor Primary
Chiropractic Providers Taxonomy 111N00000X Licence CHIA716 (ID)

Registry record

NPI
1023143237
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Feb 2007
Record last updated
27 Apr 2010

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.