Individual
DR. ROGER EARL CAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 W KINGSHIGHWAY STE 4, PARAGOULD, AR 72450-2637
(870) 239-3600
(870) 240-0643
Mailing address
2700 W KINGSHIGHWAY STE 4, PARAGOULD, AR 72450-2637
(870) 239-3600
(870) 240-0643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2002014383
MO
207Q00000X
Family Medicine Physician
Primary
C-5380
AR
207Q00000X
Family Medicine Physician
F-4777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102577001
—
AR
05
—
201552858
—
MO
Enumeration date
12/19/2006
Last updated
08/17/2010
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