Individual
DR. IAN S. ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
300 PASTEUR DRIVE, H2157, STANFORD UNIVERSITY, CARDIOVASCULAR MEDICINE, STANFORD, CA 94305-5233
(650) 723-4000
Mailing address
300 PASTEUR DRIVE, H2157, STANFORD UNIVERSITY, CARDIOVASCULAR MEDICINE, STANFORD, CA 94305-5233
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
Primary
A107147
CA
207RC0000X
Cardiovascular Disease Physician
A107147
CA
Other
Enumeration date
07/10/2006
Last updated
12/07/2018
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