Individual
MATTHEW JOHN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1408 19TH AVE, FAIRBANKS, AK 99701-5903
(907) 452-8251
(907) 459-3878
Mailing address
PO BOX 84964, FAIRBANKS, AK 99708-4964
(907) 452-8251
(907) 459-3978
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1824
AK
Other
Enumeration date
04/17/2007
Last updated
03/29/2012
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