| NPI | 1710293618 |
|---|---|
| Other Name | CHIP ROEDER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 15720) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AR 15720) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2024-03-07 |