Organization
DAVENPORT CHIROPRACTIC CLINIC LLC
Active
Other names
Davenport Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL POULSEN (OFFICE MANAGER)
(307) 350-0413
Entity
Organization
Contact information
Practice address
714 DEWAR DR, ROCK SPRINGS, WY 82901-5911
(307) 382-0667
(307) 382-0668
Mailing address
714 DEWAR DR, ROCK SPRINGS, WY 82901-5911
(307) 382-0667
(307) 382-0668
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
05/02/2022
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