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Individual

JILL M ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8501 E 56TH ST, SUITE 120, INDIANAPOLIS, IN 46216-2118
(317) 621-2360
(317) 355-2855
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01067373A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000674350
ANTHEM
IN
05
200993200
IN
01
P01588248
RR MEDICARE
IN
Enumeration date
02/25/2008
Last updated
11/27/2023
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