Individual
DR. ROBERT ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 W STONE DR, SUITE 4A, KINGSPORT, TN 37660-3256
(423) 392-6265
(423) 392-6272
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD 23700
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3069817
—
TN
05
—
7376511
—
VA
Enumeration date
06/09/2005
Last updated
01/02/2014
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