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Individual

PAUL WESLEY ROGERS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1232 W 28TH PL, PANAMA CITY, FL 32405-3404
(850) 215-6303
(850) 215-6304
Mailing address
1232 W 28TH PL, PANAMA CITY, FL 32405-3404
(850) 215-6303
(850) 215-6304

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00017686
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009937832
AL
05
051531827
AL
Enumeration date
05/04/2006
Last updated
05/20/2008
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