Organization
ROGER JENKINS MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER C. JENKINS MD (PHYSICIAN/OWNER)
(928) 717-0077
Entity
Organization
Contact information
Practice address
172 E MERRITT ST, SUITE C, PRESCOTT, AZ 86301-2026
(928) 717-0077
(928) 717-0141
Mailing address
172 E MERRITT ST, SUITE C, PRESCOTT, AZ 86301-2026
(928) 717-0077
(928) 717-0141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34543
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34543
LICENSE NUMBER
AZ
Enumeration date
09/13/2007
Last updated
09/13/2007
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