Erickson Chiropractic L.l.c.

NPI #1780814889 in Afton, Wyoming

Provider Information

NPI Number: 1780814889
Entity Type: Organization
Organization Name: Erickson Chiropractic L.l.c.
Primary Specialty: Chiropractor
Enumeration Date: Jul 23, 2009
Last Updated: Jul 23, 2009

Practice Location

Address: 32 EAST 4TH AVENUE
City: Afton
State: Wyoming
ZIP Code: 83110
Phone: (307) 885-9414

Authorized Official

Name: DR. CLINT R ERICKSON, D.C.
Title: OWNER/DOCTOR OF CHIROPRACTIC
Phone: (307) 885-9414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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