Individual
MS. LAURA MICHELLE RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
916 E RACE AVE STE A, SEARCY, AR 72143-4617
(501) 305-4068
(501) 279-3760
Mailing address
916 E RACE AVE STE A, SEARCY, AR 72143-4617
(501) 305-4068
(501) 279-3760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA-397
AR
363A00000X
Physician Assistant
Primary
PA-397
AR
363AM0700X
Medical Physician Assistant
PT0928
AR
Other
Enumeration date
10/05/2009
Last updated
04/29/2024
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