Individual
MR. JOEY ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
38324 SING RD, MACOMB, OK 74852-5753
(405) 834-5580
Mailing address
38324 SING RD, MACOMB, OK 74852-5753
(405) 834-5580
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/10/2016
Last updated
01/10/2016
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