Individual
DR. CARLYLE W ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2363 N HILL FIELD RD STE 113, LAYTON, UT 84041-6958
(661) 312-7737
Mailing address
2363 N HILL FIELD RD STE 113, LAYTON, UT 84041-6958
(661) 312-7737
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
247000000X
Health Information Technician
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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