Individual
MARY BLAIR-ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-2000
Mailing address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
22766
MS
208000000X
Pediatrics Physician
R72272
AZ
302R00000X
Health Maintenance Organization
Primary
A138664
CA
Other
Enumeration date
06/25/2010
Last updated
02/11/2022
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