Individual
DR. ROGER P EDKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3043 CENTER POINT RD NE, CEDAR RAPIDS, IA 52402-4037
(319) 364-0052
(319) 364-0690
Mailing address
3043 CENTER POINT RD NE, CEDAR RAPIDS, IA 52402-4037
(319) 364-0052
(319) 364-0690
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04906
IA
111N00000X
Chiropractor
282
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0282301
—
IA
05
—
1212282
—
IA
01
—
21228
WELLMARK BCBS OF IOWA
IA
01
—
54406
AMERICAN WHOLE HEALTH
IA
Enumeration date
10/24/2005
Last updated
08/21/2008
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