Individual
RANDY A ROGERS
Active
Individual
RANDY A ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
28116325
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA00844
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200320310
—
IN
Enumeration date
08/22/2006
Last updated
05/13/2024
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