NPI | 1902358799 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN STEFFEN MERRYMAN Chiropractor 307-299-2941 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: WY 763) |
Enumeration Date | 2016-10-27 |
Last Update Date | 2016-10-27 |