Individual
ROGER D SCOW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
712 W MAIN ST, MAGNOLIA, AR 71753-3412
(796) 524-6304
Mailing address
712 W MAIN ST, MAGNOLIA, AR 71753-3412
(796) 524-6304
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E5489
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048061802
—
TX
05
—
167236001
—
AR
05
—
200125940A
—
OK
Enumeration date
09/22/2005
Last updated
12/27/2022
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