Individual
CARI LYNN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
110 NORTH MAIN STREET, GREENVILLE, PA 16125-1726
(724) 588-2100
Mailing address
110 N MAIN ST, GREENVILLE, PA 16125-1726
(724) 588-2100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA001740L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA001740L
PENNSYLVANIA STATE BOARD OF MEDICINE LICENSE
PA
Enumeration date
01/26/2023
Last updated
01/26/2023
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