Casper Mountain Chiropractic LLC

NPI #1548488851 in Casper, Wyoming

Provider Information

NPI Number: 1548488851
Entity Type: Organization
Organization Name: Casper Mountain Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Apr 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 5850 EAST 2ND STREET
Address 2: SUITE B
City: Casper
State: Wyoming
ZIP Code: 82609
Phone: (307) 473-1000

Authorized Official

Name: DR. SHANE COPELAN, D.C.
Title: PRESIDENT
Phone: 13074731000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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