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Travis J Roedocker, DC
Chiropractor in Minot, North Dakota
NPI 1700811148

Travis J Roedocker is a Chiropractor based in Minot, ND. Travis J Roedocker practices in Minot, ND and has the professional credentials of DC. The NPI Number for Travis J Roedocker is 1700811148 and holds a License No. 716 (North Dakota).

The current practice location address for Travis J Roedocker is 1001 20Th Ave Sw, Minot, ND and can be reached out via phone at 701-852-0158 and via fax at 701-852-5630.

Location: 1001 20Th Ave Sw, Minot, ND, 58701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700811148
Provider Name
Travis J Roedocker
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1001 20Th Ave Sw, Minot, ND, 58701
Phone Number
701-852-0158
Fax Number
701-852-5630
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
711180 01 GROUP PROVIDER #
10810 01 CLINIC MEDICAID
12206 05 ND
institution
Provider Business Practice Location Address Details
Address
1001 20Th Ave Sw
City
Minot
State
North Dakota
Zip
58701
Phone Number
701-852-0158
Fax Number
701-852-5630
person
Provider Business Mailing Address Details
Address
1001 20Th Ave Sw
City
Minot
State
North Dakota
Zip
58701
Phone Number
701-852-0158
Fax Number
701-852-5630
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
716 (North Dakota)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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