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Individual

DR. RODNEY P. WITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1845 N COMMERCE DR, NIXA, MO 65714-7603
(417) 725-5553
(417) 725-6279
Mailing address
PO BOX 177, NIXA, MO 65714-0177

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005774
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15514
BLUECROSS BLUESHIELD
MO
01
350026770
RAILROAD MEDICARE
MO
Enumeration date
04/11/2007
Last updated
09/04/2008
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