Dustin R Materi D.C.

NPI 1659561629 - Chiropractor - 111N00000X

NPI Details
NPI 1659561629
Gender Male
Enumeration Date 07/26/2007
Last Updated 01/04/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
207 MAIN ST
SUNDANCE WY, 82729-0971, US
Phone (307) 283-4040
Fax (307) 283-4041
Business Location
PO BOX 971
207 MAIN ST.
SUNDANCE WY, 82729-0971, US
Phone (307) 283-4040
Fax (307) 283-4041
Toxanomy
Taxonomy Code 111N00000X
License State Wyoming
License Number 579
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According to our database, Dr. Dustin R Materi D.C. NPI is 1659561629, taxonomy code is 111N00000X and license number is 579, license state is located at Wyoming. Dustin R Materi D.C. physically located at 207 Main St, Sundance WY, 82729-0971. NPI Number Dustin R Materi D.C. has the Individual type.

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1659561629 NPI number is provided on an as is basis without warranty of any kind. 1659561629 is maintained by the National Plan & Provider Enumeration System. The contents of Dustin R Materi D.C. are for informational purposes only.