Search › Wyoming › 171100000X

Stacy Davis, DOM, DIPL. OM

NPI 1417107475 · on the registry since 2008 · sole proprietor

Practice

Address
136 Cole Shopping Ctr
Cheyenne, WY 82001
Phone
(307) 286-7222

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-09-26

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