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Dr. Mark R Shane, DC
Chiropractor in Cody, Wyoming
NPI 1306977467

Mark R Shane is a Chiropractor based in Cody, WY. Mark R Shane practices in Cody, WY and has the professional credentials of DC. The NPI Number for Mark R Shane is 1306977467 and holds a License No. 747 (Wyoming).

The current practice location address for Mark R Shane is 1708 Stampede Ave, Cody, WY and can be reached out via phone at 307-587-5591 and via fax at 307-587-4399.

Location: 1708 Stampede Ave, Cody, WY, 82414-4829
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306977467
Provider Name
Mark R Shane
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1708 Stampede Ave, Cody, WY, 82414-4829
Phone Number
307-587-5591
Fax Number
307-587-4399
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1708 Stampede Ave
City
Cody
State
Wyoming
Zip
82414-4829
Phone Number
307-587-5591
Fax Number
307-587-4399
person
Provider Business Mailing Address Details
Address
1708 Stampede Ave
City
Cody
State
Wyoming
Zip
82414-4829
Phone Number
307-587-5591
Fax Number
307-587-4399
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
747 (Wyoming)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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