Organization
ERICKSON CHIROPRACTIC L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINT R ERICKSON D.C. (OWNER/DOCTOR OF CHIROPRACTIC)
(307) 885-9414
Entity
Organization
Contact information
Practice address
32 EAST 4TH AVENUE, AFTON, WY 83110
(307) 885-9414
(307) 885-9413
Mailing address
PO BOX 1676, AFTON, WY 83110
(307) 885-9414
(307) 885-9413
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
694
WY
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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