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Individual

JASON ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AGNP

Contact information

Practice address
11988 BLACK HAWK DR, CONIFER, CO 80433-7140
(303) 949-7632
Mailing address
11988 BLACK HAWK DR, CONIFER, CO 80433-7140
(303) 949-7632

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0995042-NP
CO

Other

Enumeration date
10/16/2019
Last updated
10/16/2019
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