Organization
MATERI CHIROPRACTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN R MATERI DC (OWNER)
(307) 283-4040
Entity
Organization
Contact information
Practice address
207 MAIN ST, SUNDANCE, WY 82729-0971
(307) 283-4040
(307) 283-4041
Mailing address
207 MAIN ST, BOX 971, SUNDANCE, WY 82729-0971
(307) 283-4040
(307) 283-4041
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
579
WY
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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