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Individual

DR. STEVEN WAYNE ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
6280 W 38TH AVE, WHEAT RIDGE, CO 80033-5056
(303) 431-8887
(303) 431-8992
Mailing address
6280 W 38TH AVE, WHEAT RIDGE, CO 80033-5056
(303) 431-8887
(303) 431-8992

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
907
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08009078
CO
01
410003198
RAILROAD MEDICARE
CO
01
840990765
TAX ID
CO
Enumeration date
04/08/2006
Last updated
07/17/2013
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