Individual
ROBERT ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-3697
Mailing address
506 N CHERRY ST, SHELL ROCK, IA 50670-7740
(563) 210-5410
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A138315
IA
363LF0000X
Family Nurse Practitioner
A138315
IA
Other
Enumeration date
10/17/2017
Last updated
04/03/2019
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