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Organization

ROGER C LEDLOW DC PA

Active
Other names
Roger C Ledlow DC FACO
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROGER C LEDLOW DC (CHIROPRACTIC ORTHOPEDIST)
(850) 668-7062
Entity
Organization

Contact information

Practice address
3116 CAPITAL CIR NE, STE 1, TALLAHASSEE, FL 32308-7790
(850) 668-7062
(850) 386-5795
Mailing address
3116 CAPITAL CIR NE, STE 1, TALLAHASSEE, FL 32308-7790
(850) 668-7062
(850) 386-5795

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
CH5784
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22170
BCBS
01
P00081331
MM RAILROAD
Enumeration date
08/30/2006
Last updated
02/29/2008
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