Organization
MERRYMAN SPINAL AND SPORTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN STEFFEN MERRYMAN D.C. (CHIROPRACTOR)
(307) 299-2941
Entity
Organization
Contact information
Practice address
201 W LAKEWAY RD, SUITE. 211, GILLETTE, WY 82718-6361
(307) 756-2991
Mailing address
2008 WAGONHAMMER LN, GILLETTE, WY 82718-5327
(307) 756-2991
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
763
WY
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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