Individual
MR. WILLIAM A ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
206 E BLUE STARR DR, CLAREMORE, OK 74017-4223
(918) 341-8100
(918) 341-8139
Mailing address
PO BOX 218, CHELSEA, OK 74016-0218
(918) 855-3737
(918) 341-8139
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1737
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200193550A
—
OK
Enumeration date
06/16/2006
Last updated
02/27/2021
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