D Fraker INC

NPI #1508040437 in Bozeman, Montana

Provider Information

NPI Number: 1508040437
Entity Type: Organization
Organization Name: D Fraker INC
Primary Specialty: Chiropractor
Enumeration Date: Dec 27, 2007
Last Updated: Jun 28, 2011

Practice Location

Address: 2622 W MAIN ST
Address 2: STE B
City: Bozeman
State: Montana
ZIP Code: 59718-3967
Phone: (406) 587-9679

Authorized Official

Name: DR. DUSTIN M FRAKER, D.C.
Title: PRESIDENT
Phone: (406) 587-9679

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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