307 Longevity PC

NPI #1316783673 in Cody, Wyoming

Provider Information

NPI Number
1316783673
Entity Type
Organization
Organization Name
307 Longevity PC
Primary Specialty
Clinic/Center
Enumeration Date
Jul 6, 2024
Last Updated
Jul 6, 2024

Practice Location

Address
1120 BECK AVE
City
Cody
State
Wyoming
ZIP Code
82414-3624
Phone
(307) 527-0355

Authorized Official

Name
CHRISTOPHER THOMA, DC
Title
OWNER
Phone
(307) 899-0009

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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