Organization
FODOR CHIROPRACTIC P.S.
Active
Other names
Fodor Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
TROY EDWARD FODOR DC (OWNER)
(509) 839-8000
Entity
Organization
Contact information
Practice address
1724 WESLEY WAY, SUNNYSIDE, WA 98944-6001
(509) 839-8000
(509) 515-2814
Mailing address
1724 WESLEY WAY, SUNNYSIDE, WA 98944-6001
(509) 839-8000
(509) 515-2814
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013199496
MEDICARE NPI
WA
Enumeration date
10/14/2008
Last updated
09/22/2023
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