MEDICARE: DAVID RAVDIN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2645	AL

General Provider Information

NPI Number	:	1265041271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID RAVDIN DC

Provider Business Mailing Address
First Line	:	323 AIRPORT RD STE A
Second Line	:
City	:	AUBURN
State	:	AL
Zip	:	36830-5701
Country	:	US
Telephone Number	:	334-246-2252
Fax Number	:	888-505-3765

Provider Business Practice Location Address
First Line	:	323 AIRPORT RD STE A
Second Line	:
City	:	AUBURN
State	:	AL
Zip	:	36830-5701
Country	:	US
Telephone Number	:	334-246-2252
Fax Number	:	888-505-3765

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2020
Last Update Date	:	07/26/2020

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Directions to “ DAVID RAVDIN DC” Practice Location

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