Organization
UINTA SPINE ALIGN
Active
Other names
Davidson Chiropractic Clinic Evanston
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY DEE MANGUM DC (OWNER/CEO)
(307) 222-4322
Entity
Organization
Contact information
Practice address
1425 HIGHWAY 150 S STE 2, EVANSTON, WY 82930-5377
(307) 222-4322
(307) 444-4325
Mailing address
1425 HIGHWAY 150 S STE 2, EVANSTON, WY 82930-5377
(307) 222-4322
(307) 444-4325
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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