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Individual
RODD ROGERS
Active
Individual
RODD ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005283
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00634151
RR MEDICARE
MO
Enumeration date
05/17/2007
Last updated
11/26/2008
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