Individual
DR. JAMES R ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 E OKLAHOMA AVE, SUITE 101, ENID, OK 73701-5951
(580) 233-4711
(580) 234-6686
Mailing address
615 E OKLAHOMA AVE, SUITE 101, ENID, OK 73701-5951
(580) 233-4711
(580) 234-6686
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14789
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0748750001
CIGNA DMERC
OK
05
—
100729900A
—
OK
01
—
180016429
RAILROAD MEDICARE
OK
Enumeration date
07/12/2005
Last updated
03/09/2011
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