Theodore Wilding Davis (NPI# 1033400510, PAC ID# 1850562273) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1033400510 |
| PAC ID by PECOS | 1850562273 |
| Professional Enrollment ID | I20111216000294 |
| Full Name | Theodore Wilding Davis |
| Address |
2505 Kachina Dr Pueblo CO 81008-1573 |
| Gender | M |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2011 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2505 Kachina Dr, Pueblo, CO 81008-1573 |
| Street Address |
2505 KACHINA DR |
| City | PUEBLO |
| State | CO |
| Zip | 81008-1573 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashok Patel | Allergy/immunology | 3116 Elizabeth St, Suite A, Pueblo, CO 81008-1145 | |
| Gregory J Sanchez | Chiropractic | 3606 Morris Ave, Suite B, Pueblo, CO 81008-1369 | |
| James F Georgis | Optometry | 22 Club Manor Dr, Pueblo, CO 81008-1601 | |
| Victoria R Peters | Optometry | 1700 W Hwy 50, Pueblo, CO 81008-1614 | |
| Lance Farnworth | Orthopedic Surgery | Pueblo Bone and Joint Clinic LLC | 1919w Us Hwy 50, Pueblo, CO 81008-1618 |
| Damian Gradisar | Nurse Practitioner | Pueblo Bone and Joint Clinic LLC | 1919w Us Hwy 50, Pueblo, CO 81008-1618 |
| Matthew P Simonich | Orthopedic Surgery | Pueblo Bone and Joint Clinic LLC | 1919w Us Hwy 50, Pueblo, CO 81008-1618 |
| Robyn B Silver | Physical Therapy | Centura Ventures LLC | 4112 Outlook Blvd, Suite 96, Pueblo, CO 81008-1667 |
| Stephanie Jean Zimbelman | Family Medicine | Catholic Health Initiatives Colorado | 4112 Outlook Blvd, Suite 303, Pueblo, CO 81008-1667 |
| Eric Nathaniel Knight | Physical Therapy | Centura Ventures LLC | 4112 Outlook Blvd, Suite 96, Pueblo, CO 81008-1667 |
| Find all physicians in zip 81008 | |||
| City | PUEBLO |
| Zip Code | 81008 |
| Specialty | CHIROPRACTIC |
| City + Specialty | PUEBLO + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.