Organization
PRIDHAM LLC
Active
Other names
Healthsource of Casper
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINA PRIDHAM DC (OWNER/DOCTOR)
(503) 703-6120
Entity
Organization
Contact information
Practice address
426 W 1ST ST, CASPER, WY 82601-2408
(307) 266-6908
(307) 266-2583
Mailing address
426 W 1ST ST, CASPER, WY 82601-2408
(307) 266-6908
(307) 266-2583
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
772
WY
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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