Individual
DR. STEPHAN PAUL EDISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1330 E. RICHARDS, DOUGLAS, WY 82633
(307) 358-3147
(307) 358-3213
Mailing address
PO BOX 902, 1330 E. RICHARDS, DOUGLAS, WY 82633-0902
(307) 358-3147
(307) 358-3213
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
574
WY
Other
Enumeration date
01/10/2007
Last updated
01/20/2021
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