Individual
ELIZABETH JANE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9507 HOSPITAL AVENUE, NASSAWADOX, VA 23413
(757) 414-8000
Mailing address
PO BOX 7549, PORTSMOUTH, VA 23707-0549
(757) 686-3515
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101044291
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10021311
OPTIMA
VA
01
—
P00233629
RAILROAD MEDICARE
VA
Enumeration date
06/08/2006
Last updated
02/14/2008
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