Individual
MR. MICHAEL J ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
34101 FARENHOLT AVE, BUILDING 14, SAN DIEGO, CA 92134-9712
(904) 803-0493
Mailing address
34101 FARENHOLT AVE, BUILDING 14, SAN DIEGO, CA 92134-9712
(904) 803-0493
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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