NPI 1487210696 · live from the CMS NPI Registry
Zane Blazzard Dillree, DC
Chiropractor in Evanston, WY. National Provider Identifier 1487210696, active.
NPI record
| NPI | 1487210696 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 624 W Cheyenne Dr Ste 3, Evanston, WY 82930 |
| Practice phone | 307-679-4429 |
| Mailing address | 242 S Valley Dr Apt 22, Evanston, WY 82930 |
| Enumerated | May 13, 2019 |
| Last updated | May 13, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 790 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.