Organization
CHIROPRACTIC WELLNESS CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIRSTEN KIM MAYCOCK D.C. (PRESIDENT)
(307) 682-4000
Entity
Organization
Contact information
Practice address
404 S DOUGLAS HWY, GILLETTE, WY 82716-4029
(307) 682-4000
(307) 686-0768
Mailing address
404 S DOUGLAS HWY, GILLETTE, WY 82716-4029
(307) 682-4000
(307) 686-0768
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
586 WY
WY
Other
Enumeration date
09/10/2007
Last updated
03/13/2008
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