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Individual

JOHN W ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1970 E 53RD ST, DAVENPORT, IA 52807-2710
(563) 359-3949
Mailing address
1970 E 53RD ST, DAVENPORT, IA 52807-2710
(563) 359-3949

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
29645
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1122606
IA
01
20772
BCBS OF IOWA W/ ORA
IA
01
2122606
MEDICIAD IOWA W/ ORA
IA
01
300050371
RR MDC RGPCSC
01
300122789
RAILROAD MEDICARE W/ ORA
IA
01
300132297
RR MDC RGIC LLC
01
32568
BCBS IA RGPCSC
05
5122606
IA
01
51302
BCBS IA RGIC LLC
Enumeration date
03/28/2006
Last updated
04/12/2021
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