Provider Demographics
NPI:1619986866
Name:DARIS, JAMES -------------- (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:--------------
Last Name:DARIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 EAGLE POINTE DR
Mailing Address - Street 2:
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-3766
Mailing Address - Country:US
Mailing Address - Phone:417-339-4648
Mailing Address - Fax:417-339-2545
Practice Address - Street 1:210 EAGLE POINTE DR
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-3766
Practice Address - Country:US
Practice Address - Phone:417-339-4648
Practice Address - Fax:417-339-2545
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006234111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition