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Organization
YELLOWSTONE CHIROPRACTIC, PC
Active
Organization
YELLOWSTONE CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS B FULLER DC (PRESIDENT)
(307) 548-9338
Entity
Organization
Contact information
Practice address
223 E MAIN ST, LOVELL, WY 82431-2101
(307) 548-9338
(307) 548-9335
Mailing address
223 E MAIN ST, LOVELL, WY 82431-2101
(307) 548-9338
(307) 548-9335
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
615
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313386
BLUE CROSS BLUE SHIELD
WY
Enumeration date
08/12/2006
Last updated
10/04/2007
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