Individual
RICHARD ROGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 512-3000
Mailing address
PO BOX 160, BOX 302, SCOTTSDALE, AZ 85252-0160
(480) 272-8411
(480) 361-1435
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN036618
AZ
Other
Enumeration date
06/09/2006
Last updated
08/18/2016
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