Individual
MILES FORTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
900 EZ ST STE 120, GILLETTE, WY 82718-5969
(307) 682-6650
(307) 682-1814
Mailing address
900 EZ ST STE 120, GILLETTE, WY 82718-5969
(307) 682-6650
(307) 682-1814
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
744
WY
Other
Enumeration date
03/13/2014
Last updated
10/26/2023
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