Individual
DR. RICHARD J. AMODEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3325 KIRBY PKWY, SUITE 102, MEMPHIS, TN 38115-3833
(901) 375-0900
(901) 375-0897
Mailing address
3325 KIRBY PKWY, SUITE 102, MEMPHIS, TN 38115-3833
(901) 375-0900
(901) 375-0897
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC493
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060267
BLUE CROSS BLUE SHIELD OF
TN
Enumeration date
04/27/2006
Last updated
09/13/2007
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