NPI 1306977467
Mark R Shane, DC
Practice location
- Address
- 1708 Stampede Ave Suite C, Cody, WY 82414-4829
- Phone
- (307) 587-5591
- Fax
- (307) 587-4399
Registered specialties
Chiropractor
Primary
Registry record
- NPI
- 1306977467
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 Mar 2007
- Record last updated
- 17 Aug 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.