MEDICARE: DR. DAVID MARK DARBY D.C.

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	1095	LA

General Provider Information

NPI Number	:	1497752521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID MARK DARBY D.C.

Provider Business Mailing Address
First Line	:	221 N LEWIS ST
Second Line	:
City	:	NEW IBERIA
State	:	LA
Zip	:	70563-2840
Country	:	US
Telephone Number	:	337-364-6543
Fax Number	:	337-364-6564

Provider Business Practice Location Address
First Line	:	221 N LEWIS ST
Second Line	:
City	:	NEW IBERIA
State	:	LA
Zip	:	70563-2840
Country	:	US
Telephone Number	:	337-364-6543
Fax Number	:	337-364-6564

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. DAVID MARK DARBY D.C.” Practice Location

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