Individual
DR. PAUL MICHAEL ROGERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS/MS
Contact information
Practice address
2200 BERGQUIST DR, SUITE 1, ATTN: CREDENTIALS (CMC), LACKLAND A F B, TX 78236-9907
(210) 292-5132
Mailing address
3050 ORCHARD HL, SAN ANTONIO, TX 78230-3057
(210) 269-0749
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
30937
CA
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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