Individual
MR. MARK E RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNFA
Contact information
Practice address
1600 S COULTER ST BLDG F, AMARILLO, TX 79106-1710
(806) 398-3627
(806) 351-7801
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(484) 913-7434
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
541380
TX
Other
Enumeration date
09/05/2006
Last updated
08/16/2019
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