Provider Demographics
NPI:1275644213
Name:DAVIS, MARY ALBAUGH PFEIFFER (DC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:ALBAUGH PFEIFFER
Last Name:DAVIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 LINCOLN AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-4956
Mailing Address - Country:US
Mailing Address - Phone:707-224-4169
Mailing Address - Fax:707-224-4684
Practice Address - Street 1:1100 LINCOLN AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-4900
Practice Address - Country:US
Practice Address - Phone:707-224-4160
Practice Address - Fax:707-224-4684
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30047111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor