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Individual

CLEON LOUIS ROGERS IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5720 1ST AVE S, BIRMINGHAM, AL 35212-2522
(205) 380-9455
(205) 380-9459
Mailing address
5720 1ST AVE S, BIRMINGHAM, AL 35212-2522
(205) 380-9455
(205) 934-9459

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31291
AL
208000000X
Pediatrics Physician
Primary
31291
AL

Other

Enumeration date
05/12/2010
Last updated
02/02/2015
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