Individual
TIMOTHY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-6345
(602) 933-8975
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35139275
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
69284
AZ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35139275
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0470024
—
OH
Enumeration date
04/26/2017
Last updated
08/29/2023
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