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NPI Code Detail

MEDICARE: DR. DANIEL ROBERT STAIGHT D.C.

MEDICARE:  DR. DANIEL ROBERT STAIGHT  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor306WY
2111NX0800XOrthopedic Chiropractor306WY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649275066
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL ROBERT STAIGHT D.C.
Provider Business Mailing Address
First Line : 223 S KENWOOD ST
Second Line :
City : CASPER
State : WY
Zip : 82601-3030
Country : US
Telephone Number : 307-237-7898
Fax Number : 307-265-3695
Provider Business Practice Location Address
First Line : 223 S KENWOOD ST
Second Line :
City : CASPER
State : WY
Zip : 82601-3030
Country : US
Telephone Number : 307-237-7898
Fax Number : 307-265-3695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 11/08/2010

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Directions to “ DR. DANIEL ROBERT STAIGHT D.C.” Practice Location

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