Provider Demographics
NPI:1043432479
Name:RODE, DARCY A (DC)
Entity Type:Individual
Prefix:DR
First Name:DARCY
Middle Name:A
Last Name:RODE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11684 HURON ST STE 102
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2955
Mailing Address - Country:US
Mailing Address - Phone:303-920-0931
Mailing Address - Fax:
Practice Address - Street 1:11684 HURON ST STE 102
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-2955
Practice Address - Country:US
Practice Address - Phone:303-920-0931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4252111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor