Organization
DODGE CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DODGE (PRESIDENT)
(228) 452-0707
Entity
Organization
Contact information
Practice address
213 HENDERSON AVE, PASS CHRISTIAN, MS 39571-4309
(228) 452-0707
Mailing address
213 HENDERSON AVE, PASS CHRISTIAN, MS 39571-4309
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
925
MS
Other
Enumeration date
04/09/2007
Last updated
05/16/2012
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