Individual
MARK J ROGGEVEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
533 S 336TH ST, SUITE C, FEDERAL WAY, WA 98003-6329
(253) 661-1700
Mailing address
533 S 336TH ST, SUITE C, FEDERAL WAY, WA 98003-6329
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A94934
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8475451
—
WA
Enumeration date
09/21/2006
Last updated
02/08/2012
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