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Individual

ALAN D. ROGOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-0000
Mailing address
500 RAY C HUNT DR, CHARLOTTESVILLE, VA 22903-2981

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101026539
VA
2080P0205X
Pediatric Endocrinology Physician
01064703
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006057161
VA
05
200894180
IN
Enumeration date
11/07/2006
Last updated
06/01/2010
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