Rrgdcllc

NPI 1134404809 - Chiropractor - 111N00000X

NPI Details
NPI 1134404809
Enumeration Date 10/13/2011
Last Updated 10/13/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ROBERT RICHARD ROBERT
Position CHIROPRACTOR
Phone (228) 463-1778
Fax
Practice Location
806 HWY 90
BAY ST. LOUIS MS, 39520, US
Phone (228) 463-1778
Fax
Business Location
806 HIGHWAY 90
BAY ST LOUIS MS, 39520-2701, US
Phone (228) 463-1778
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Mississippi
License Number 1114
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According to our database, Rrgdcllc NPI is 1134404809, taxonomy code is 111N00000X and license number is 1114, license state is located at Mississippi. Rrgdcllc physically located at 806 Hwy 90, Bay St. Louis MS, 39520. NPI Number 1033115704 has the healthcare provider type.

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1134404809 NPI number is provided on an as is basis without warranty of any kind. 1134404809 is maintained by the National Plan & Provider Enumeration System. The contents of Rrgdcllc are for informational purposes only.