Most Relevant Information
Provider Data
| NPI Number: | 1003804576 |
| Provider Name: | RANDALL GREGG DAVIS DC |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 893 |
Most Important Dates
| Enumeration Date: | 10/10/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1000 N ARKANSAS AVE
SUITE A
RUSSELLVILLE
AR
728012936
Practice Location Phone/Fax
| Phone: | 4799687890 |
| Fax: | 4799687890 |
Provider Mailing Location
1000 N ARKANSAS AVE
SUITE A
RUSSELLVILLE
AR
728012936
Provider Mailing Phone/Fax
| Phone: | 4799687890 |
| Fax: | 4799687890 |