| NPI | 1225190028 |
|---|---|
| Former Legal Business Name | THE DODGE CLINIC OF CHIROPRACTIC PC |
| Entity Type | Organization |
| Authorized Contact | CLINTON S DODGE Vice President 812-932-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2018-01-17 |