Organization
BIG COUNTRY CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT STANLEY DC (OWNER)
(307) 856-4400
Entity
Organization
Contact information
Practice address
611 E MAIN ST, SUITE 7, RIVERTON, WY 82501-4423
(307) 856-4400
(307) 856-9723
Mailing address
611 E MAIN ST, SUITE 7, RIVERTON, WY 82501-4423
(307) 856-4400
(307) 856-9723
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110371700
—
WY
01
—
302330
BLUE CROSS BLUE SHIELD OF WYOMING
WY
Enumeration date
01/27/2010
Last updated
01/27/2010
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