Individual
JUSTIN MERRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 W LAKEWAY RD, SUITE 211, GILLETTE, WY 82718-6361
(307) 217-2323
Mailing address
2008 WAGONHAMMER LN, GILLETTE, WY 82718-5327
(307) 299-2941
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
763
WY
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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