| NPI | 1285881169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE W. WEBER Chiropractic Provider 307-635-6777 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WY 11638) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2018-02-22 |