Individual
DR. CASEY TRENT CORDIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
701 W SPRUCE ST, MISSOULA, MT 59802-3904
(406) 721-8858
(406) 542-0960
Mailing address
701 W SPRUCE ST, MISSOULA, MT 59802-3904
(406) 721-8858
(406) 542-0960
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CHI-CHI-LIC-1835
MT
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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