Individual
MR. ROGER ALAN NEVLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
350 S 40TH ST, MUSKOGEE, OK 74401-4915
(918) 683-0753
(866) 397-7556
Mailing address
350 S 40TH ST, MUSKOGEE, OK 74401-4915
(918) 683-0753
(866) 397-7556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2405
OK
Other
Enumeration date
12/22/2005
Last updated
08/06/2015
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