DR. Stephan Paul Ediss, D.C.

NPI #1669521324 in Douglas, Wyoming

Provider Information

NPI Number: 1669521324
Entity Type: Individual
Name: DR. Stephan Paul Ediss, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jan 10, 2007
Last Updated: Jan 20, 2021

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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Organizations

Provider Name	Specialty	City
Ediss Chiropractic, INC	Chiropractor	Douglas	AI Deep Dive

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