Individual
DR. TROY EDWARD FODOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
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) 839-5656
(509) 839-5682
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002652
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000119649
MEDICARE RAILROAD
WA
01
—
75565
LI
WA
01
—
FO1686
REGENCE
WA
Enumeration date
03/13/2007
Last updated
09/22/2023
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