Provider Demographics
NPI:1942523238
Name:CATRON, DAVID RANDOLPH (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:RANDOLPH
Last Name:CATRON
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 1:1276 LINCOLN AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-3050
Mailing Address - Country:US
Mailing Address - Phone:408-891-4133
Mailing Address - Fax:
Practice Address - Street 1:1276 LINCOLN AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-3050
Practice Address - Country:US
Practice Address - Phone:408-891-4133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-31528111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor