Individual
BENJAMIN JON ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
705 N 15TH ST, FORT DODGE, IA 50501-3344
(515) 576-1176
(515) 573-5295
Mailing address
705 N 15TH ST, FORT DODGE, IA 50501-3344
(515) 576-1176
(515) 573-5295
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AO5814
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118448
—
IA
Enumeration date
02/06/2007
Last updated
07/08/2007
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