Individual
MR. ERNEST EUGENE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AUDIOLOGY ASSISTANT
Contact information
Practice address
126 MISSOURI AVE, FORTLEONARDWOOD, MO 65473
(573) 596-0131
Mailing address
126 MISSOURI AVE, FORTLEONARDWOOD, MO 65473
(573) 596-0131
Taxonomy
Speciality
Code
Description
License number
State
2355A2700X
Audiology Assistant
Primary
077302A
MO
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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