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Individual

DR. RICHARD L RODGERS II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2373 E BASELINE RD, SUITE 102, GILBERT, AZ 85234-2477
(808) 927-7951
Mailing address
4221 E WINDSONG DR, PHOENIX, AZ 85048-0546
(808) 927-7951

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1181
HI
111N00000X
Chiropractor
2911
OH
111N00000X
Chiropractor
8334
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2194549
OH
Enumeration date
02/24/2007
Last updated
01/13/2016
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