Individual
BETH S ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
360 E MONTVUE DR STE 100, MERIDIAN, ID 83642-6318
(208) 855-2900
Mailing address
1779 W MARTEN CREEK DR, MERIDIAN, ID 83642-3295
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
M9667
ID
Other
Enumeration date
09/06/2006
Last updated
03/04/2008
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