Individual
ROMAN ROGOZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Mailing address
879 TERRACESIDE CIR, CLARKSVILLE, TN 37040-6175
(726) 400-1012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1236757
TN
Other
Enumeration date
05/07/2024
Last updated
12/15/2025
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