Search › Wyoming › 111N00000X
Stephan Ediss, D.C
NPI 1669521324 · on the registry since 2007
Practice
- Address
- 1330 E. Richards
Douglas, WY 82633 - Phone
- (307) 358-3147
- Fax
- (307) 358-3213
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-20
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