Individual
JASON ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
313 W DRAKE RD, FORT COLLINS, CO 80526-2846
(970) 632-0135
Mailing address
1720 KIRKWOOD DR APT N29, FORT COLLINS, CO 80525-2027
(970) 632-0135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0005936
CO
363A00000X
Physician Assistant
54044
CA
363A00000X
Physician Assistant
Primary
9109950
FL
Other
Enumeration date
12/12/2016
Last updated
02/06/2023
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