Ediss Chiropractic, INC

NPI #1477736015 in Douglas, Wyoming

Provider Information

NPI Number: 1477736015
Entity Type: Organization
Organization Name: Ediss Chiropractic, INC
Primary Specialty: Chiropractor
Enumeration Date: Dec 5, 2007
Last Updated: Jan 20, 2021

Practice Location

Address: 1330 E RICHARDS ST
City: Douglas
State: Wyoming
ZIP Code: 82633-2951
Phone: (307) 358-3147

Authorized Official

Name: MICHELE F. LISCO-EDISS
Title: PRESIDENT
Phone: (307) 358-5066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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Provider Name	Specialty	City
DR. Stephan Paul Ediss, D.C.	Chiropractor	Douglas	AI Deep Dive
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