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Organization
ROTH FAMILY CHIROPRACTIC INC.
Active
Organization
ROTH FAMILY CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON D ROTH DC (OWNER)
(218) 233-2517
Entity
Organization
Contact information
Practice address
1906 30TH AVE SOUTH, MOORHEAD, MN 56560
(218) 233-2517
(218) 233-6737
Mailing address
1906 30TH AVE SOUTH, MOORHEAD, MN 56560
(218) 233-2517
(218) 233-6737
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3113
MN
111N00000X
Chiropractor
3114
MN
Other
Enumeration date
08/13/2007
Last updated
02/04/2016
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