Provider Demographics
NPI:1831654607
Name:STUTO CHIROPRACTIC INC
Entity Type:Organization
Organization Name:STUTO CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAUN
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:STUTO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-728-1250
Mailing Address - Street 1:4100 MULLAN RD UNIT 301
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-5114
Mailing Address - Country:US
Mailing Address - Phone:406-728-1250
Mailing Address - Fax:406-728-1279
Practice Address - Street 1:4100 MULLAN RD UNIT 301
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-5114
Practice Address - Country:US
Practice Address - Phone:406-728-1250
Practice Address - Fax:406-728-1279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-06
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty