Individual
BARD L ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 947-2114
Mailing address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 947-2114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2011-0568
NM
207Q00000X
Family Medicine Physician
Primary
MD219521
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172322301
—
TX
Enumeration date
08/01/2006
Last updated
05/07/2026
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