Individual
ROGER S KOERNER
Active
Individual
ROGER S KOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0032452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50860
BC/BS INDIV PROVIDER NUM
FL
01
—
99485
BC/BS GROUP PROVIDER NUM
FL
Enumeration date
10/20/2006
Last updated
07/06/2012
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