Organization
CASPER MOUNTAIN CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE COPELAN D.C. (PRESIDENT)
13074731000
Entity
Organization
Contact information
Practice address
5850 EAST 2ND STREET, SUITE B, CASPER, WY 82609
(307) 473-1000
(307) 473-1014
Mailing address
5850 EAST 2ND STREET, SUITE B, CASPER, WY 82609
(307) 473-1000
(307) 473-1014
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
661
WY
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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