Individual
MR. CLIFTON RICHARD ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1007 N POPE ST, SILVER CITY, NM 88061-5161
(575) 388-1551
(575) 542-2388
Mailing address
530 DE MOSS ST, LORDSBURG, NM 88045-2618
(575) 542-8384
(575) 542-2388
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5478
AZ
363A00000X
Physician Assistant
Primary
PA2015-0017
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
855836
—
AZ
Enumeration date
10/04/2013
Last updated
05/29/2015
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