Provider Demographics
NPI:1891982070
Name:DILL, JOHN DARCY (DC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:DARCY
Last Name:DILL
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 1:73345 HIGHWAY 111
Mailing Address - Street 2:STE 201
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-3909
Mailing Address - Country:US
Mailing Address - Phone:541-647-2222
Mailing Address - Fax:760-773-5664
Practice Address - Street 1:73345 HIGHWAY 111
Practice Address - Street 2:STE 201
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-3909
Practice Address - Country:US
Practice Address - Phone:541-647-2222
Practice Address - Fax:760-773-5664
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30476111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor