DR. Mark R Shane, DC

NPI #1306977467 in Cody, Wyoming

Provider Information

NPI Number
1306977467
Entity Type
Individual
Name
DR. Mark R Shane, DC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Chiropractor
Credential
DC
Enumeration Date
Mar 8, 2007
Last Updated
Aug 17, 2015

Practice Location

Address
1708 STAMPEDE AVE
Address 2
SUITE C
City
Cody
State
Wyoming
ZIP Code
82414-4829
Phone
(307) 587-5591

Specialties & Taxonomy Codes

Specialty
Chiropractor

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