MILLER CHIROPRACTIC CLINIC PC
Managed Care Organizations at English Dr, Casper, WY

License number
Wyoming 461
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: DR. MADELAINE MAE STOUT DC
Title: PRESIDENT
Phone: (307) 235-4956
Address
Address
735 English Dr, Casper, WY 82601
National Provider ID: 1558602565
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Miller Chiropractic Clinic, PC

Casper, WY

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Jun 14, 1989
Inactive since:
Aug 10, 2011
Addresses:
735 English Dr, Casper, WY 82601 (Physical)
C/O Cpa Consulting Group Llp, Casper, WY 82609 (Mailing)
State ID:
1989-000254851
Business type:
Profit Corporation - Domestic
Expiration:
Perpetual
Ba, Dcs:
Madelaine M. Miller (Ba, Dc),Madelaine Mae Stout (Ba, Dc)

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