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Organization

CODY CHIROPRACTIC CENTER PC

Active
Other names
ProHealth Pain Relief and Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK R SHANE D.C. (PRESIDENT)
(307) 587-5591
Entity
Organization

Contact information

Practice address
1708 STAMPEDE AVE, SUITE C, CODY, WY 82414-4829
(307) 587-5591
(307) 587-4399
Mailing address
1708 STAMPEDE AVE, SUITE C, CODY, WY 82414-4829
(307) 587-5591
(307) 587-4399

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
747
WY

Other

Enumeration date
01/05/2015
Last updated
08/18/2015
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