Individual
JEFFREY PHILIP ROGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
745 W MOANA LN STE 300, RENO, NV 89509-4980
(970) 640-7000
Mailing address
745 W MOANA LN STE 300, RENO, NV 89509-4980
(970) 640-7000
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD00044507
WA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
20736
NV
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD00044507
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1091581
—
WA
05
—
8420648
—
WA
Enumeration date
07/06/2006
Last updated
12/02/2022
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