Individual
DR. ROGER K AMUNDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
830 SOUTH CENTRAL AVE, MALTA, MT 59538
(406) 654-1130
Mailing address
P.O. BOX 688, MALTA, MT 59538
(406) 654-1130
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
534
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
534
MONTANA LICENSE NUMBER
MT
Enumeration date
11/30/2006
Last updated
07/08/2007
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