Uinta Spine Align

NPI #1104692375 in Evanston, Wyoming

Provider Information

NPI Number: 1104692375
Entity Type: Organization
Organization Name: Uinta Spine Align
Primary Specialty: Chiropractor
Enumeration Date: Nov 29, 2023
Last Updated: Nov 29, 2023

Practice Location

Address: 1425 HIGHWAY 150 S STE 2
City: Evanston
State: Wyoming
ZIP Code: 82930-5377
Phone: (307) 222-4322

Authorized Official

Name: DR. JAY DEE MANGUM, DC
Title: OWNER/CEO
Phone: (307) 222-4322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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Organizations

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