Organization
BITTERROOT VALLEY SPINAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN D WANDERAAS DC (OWNER)
(636) 399-2588
Entity
Organization
Contact information
Practice address
289 RODEO DR, SUITE 3, FLORENCE, MT 59833-6826
(636) 399-2588
Mailing address
289 RODEO DR, SUITE 3, FLORENCE, MT 59833-6826
(636) 399-2588
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/07/2010
Last updated
08/25/2010
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