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Individual

BRIAN E ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
899 POPLAR CHURCH RD, CAMP HILL, PA 17011-2206
(717) 763-0430
(717) 763-9854
Mailing address
628 KEN RD, NEW FREEDOM, PA 17349-9137
(410) 382-5730

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN63295
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN63295
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102685360001
PA
Enumeration date
08/30/2006
Last updated
08/22/2014
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