Organization
MOUNTAIN VIEW CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERALD DALE WILEY DC (PRESIDENT OWNER)
(406) 727-5757
Entity
Organization
Contact information
Practice address
1520 3RD STREET NORTH WEST, SUITE E, GREAT FALLS, MT 59404
(406) 727-5757
(406) 727-7006
Mailing address
PO BOX 363, VAUGHN, MT 59487
(406) 727-5757
(406) 727-7006
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
786
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040903
BLUE CROSS BLUE SHIELD
MT
Enumeration date
12/13/2007
Last updated
01/25/2008
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