Davidson Chiropractic Clinic - Evanston Llc | |
195 Feather Way Ste A, Evanston, WY 82930-9352 | |
(307) 382-0600 | |
(307) 382-0601 |
Full Name | Davidson Chiropractic Clinic - Evanston Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 195 Feather Way Ste A, Evanston, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1023502408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (Wyoming) | Primary |
Provider Name | Michael A Davidson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1770612939 PECOS PAC ID: 4880785955 Enrollment ID: I20070802000640 |
Mailing Address | Practice Location Address |
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Davidson Chiropractic Clinic - Evanston Llc 195 Feather Way Ste A, Evanston, WY 82930-9352 Ph: (307) 382-0600 | Davidson Chiropractic Clinic - Evanston Llc 195 Feather Way Ste A, Evanston, WY 82930-9352 Ph: (307) 382-0600 |
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Dr. Kenneth Casey Davis, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1101 Main Street, Suite 208, Evanston, WY 82930 Phone: 307-444-7773 | |
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Dr. Zane Blazzard Dillree, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 624 W Cheyenne Dr Ste 3, Evanston, WY 82930 Phone: 307-679-4429 Fax: 307-789-4959 | |
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Mr. Todd Eric Hoover, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 545 Cheyenne Dr, Suite A, Evanston, WY 82930 Phone: 307-789-0043 Fax: 307-789-0044 |