Jason D Roth, DC

NPI #1144326349 in Moorhead, Minnesota

Provider Information

NPI Number: 1144326349
Entity Type: Individual
Name: Jason D Roth, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Sep 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1906 30TH AVE S
City: Moorhead
State: Minnesota
ZIP Code: 56560-5210
Phone: (218) 233-2517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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