Organization
DODGE CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP JOHN DODGE JR. D.C. (OWNER)
(585) 425-9820
Entity
Organization
Contact information
Practice address
7700 PITTSFORD PALMYRA RD, FAIRPORT, NY 14450-9590
(585) 425-9820
(585) 425-8003
Mailing address
7700 PITTSFORD PALMYRA RD, FAIRPORT, NY 14450-9590
(585) 425-9820
(585) 425-8003
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
NY010367
NY
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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