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Individual

DR. EARL D ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
4736 AIRPORT BLVD, SUITE 1, MOBILE, AL 36608
(251) 344-7096
(251) 344-7153
Mailing address
4736 AIRPORT BLVD, SUITE 1, MOBILE, AL 36608
(251) 344-7096
(251) 344-7153

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3889
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33847
BCBS PROVIDER NUMBER
AL
Enumeration date
12/11/2006
Last updated
07/08/2007
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