Randolph Davis, D.C

NPI 1588740674 · on the registry since 2006 · sole proprietor

Practice

Address: 320 Bawden St
Suite 306
Ketchikan, AK 99901
Phone: (907) 225-6815
Fax: (907) 225-5767
Organisation at this address: Rotary House Of Ketchikan Inc
Creekside Family Health Clinic Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 111NR0400X
111NR0400X
Licence states on file: AK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska