Individual
DR. SUSAN HART ROGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
767 W NORTH ST, FAYETTEVILLE, AR 72701-1865
(479) 521-3600
(479) 521-7422
Mailing address
PO BOX 8056, FAYETTEVILLE, AR 72703-0001
(479) 841-8878
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E1407
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133207001
—
AR
Enumeration date
08/01/2006
Last updated
01/21/2020
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