MARK R SHANE

CODY, WY
NPI1306977467
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: WY  747)
Enumeration Date2007-03-08
Last Update Date2015-08-17
Business Address
Dr. MARK R SHANE DC
1708 STAMPEDE AVE SUITE C
CODY, WY 82414-4829
Phone number: 307-587-5591
Mailing Address
Dr. MARK R SHANE DC
1708 STAMPEDE AVE SUITE C
CODY, WY 82414-4829
Phone number: 307-587-5591