Individual
MR. ROGER JASON PLOG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
653 156TH AVE NE, BELLEVUE, WA 98007-4823
(425) 641-9127
(425) 641-9108
Mailing address
1631 154TH AVE SE, BELLEVUE, WA 98007-6146
(425) 747-8729
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00016310
WA
Other
Enumeration date
12/07/2005
Last updated
07/08/2007
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