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Individual

DR. REX JAMESON BYRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
320 BOOTH AVE., LARIMORE, ND 58251-0729
(701) 343-6496
Mailing address
320 BOOTH AVE., PO BOX 729, LARIMORE, ND 58251-0729
(701) 343-6496

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
364
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13787
ND
01
4297
BLUE CROSS BLUE SHIELD
ND
Enumeration date
01/30/2007
Last updated
07/08/2007
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