Individual
DR. RICHARD ROGER ROGERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 802-3143
Mailing address
PO BOX 6276, DPT 20, INDIANAPOLIS, IN 46206-6276
(317) 802-3143
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301092014
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301092014
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201019630
—
IN
Enumeration date
05/16/2008
Last updated
05/13/2014
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