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Individual
ROGER BRUCE SCARBOROUGH
Active
Individual
ROGER BRUCE SCARBOROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A35569
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0081500
—
CA
01
—
GR0081501
MEDI-CAL
CA
Enumeration date
07/24/2006
Last updated
11/10/2021
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