Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NI0013X | Independent Medical Examiner | CHIR008570 | GA |
N | 111NN0400X | Neurology | CHIR008570 | GA |
N | 111NR0400X | Rehabilitation Chiropractor | CHIR008570 | GA |
Y | 111NS0005X | Chiropractic Sports Physician | CHIR008570 | GA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | CHIR008570 | GA |
NPI | 1417283391 |
---|---|
Provider Name | Dr. Steven David Roffers |
First Address | Cathedral City, CA 92234-7929 |
Second Address | Palm Springs, CA 92264-7213 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2009 |
Last Update Date | 20/11/2020 |