Mark Shane, DC

NPI 1306977467 · on the registry since 2007 · sole proprietor

Practice

Address: 1708 Stampede Ave
Suite C
Cody, WY 82414
Phone: (307) 587-5591
Fax: (307) 587-4399
Organisation at this address: Richard D Jones Odpc
Jacob G. Despain Od Pc
Cody Chiropractic Center Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Chiropractor
111N00000X
Licence states on file: WY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming