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Individual

ROGER E DER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 W HUNTINGTON DR, ARCADIA, CA 91007-3402
(626) 574-3488
(626) 821-6934
Mailing address
300 W HUNTINGTON DR, ARCADIA, CA 91007-3402
(626) 574-3488
(626) 821-6934

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A65753
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A657530
CA
Enumeration date
09/09/2005
Last updated
03/11/2025
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