Individual
DR. DALTON JAMES PFANKUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
4726 MOUNTAIN RD APT 520, CHEYENNE, WY 82009-5157
(651) 263-6897
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
32373
AZ
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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