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Dr. Jeff R. Roderick, DC
Chiropractor in Mesa, Arizona
NPI 1740289248

Jeff R. Roderick is a Chiropractor based in Mesa, AZ. Jeff R. Roderick practices in Mesa, AZ and has the professional credentials of DC. The NPI Number for Jeff R. Roderick is 1740289248 and holds a License No. CHIA-872 (Arizona).

The current practice location address for Jeff R. Roderick is 4864 E Baseline Rd Ste 105, Mesa, AZ and can be reached out via phone at 480-558-1900 and via fax at 480-633-6058.

Location: 4864 E Baseline Rd Ste 105, Mesa, AZ, 85206-4629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740289248
Provider Name
Jeff R. Roderick
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
4864 E Baseline Rd Ste 105, Mesa, AZ, 85206-4629
Phone Number
480-558-1900
Fax Number
480-633-6058
Provider Enumeration Date
07/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C8729 01 ID BLUE CROSS
000010025346 01 ID BLUE SHIELD
M8059948 05 ID
institution
Provider Business Practice Location Address Details
Address
4864 E Baseline Rd Ste 105
City
Mesa
State
Arizona
Zip
85206-4629
Phone Number
480-558-1900
Fax Number
480-633-6058
person
Provider Business Mailing Address Details
Address
4864 E Baseline Rd Ste 105
City
Mesa
State
Arizona
Zip
85206-4629
Phone Number
480-558-1900
Fax Number
480-633-6058
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
8537 (Arizona)
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.
person
Provider's Taxonomy Details 2
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
Sports Physician
Taxonomy
111NS0005X
License No.
CHIA-872 (Idaho)
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
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