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Individual

DR. ELIZABETH JANE ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
2100 COMMERCE DR, PARSONS, KS 67357-4951
(620) 717-4450
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
(620) 240-5668

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
2018043079
MO
1223P0221X
Pediatric Dentistry
Primary
61996
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110931271
MEDICARE
KS
05
201112930A
OK
05
30004786840001
KS
05
400063637
MO
Enumeration date
07/03/2013
Last updated
03/13/2024
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