Individual
ZACHARY RICHARD ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6052 W STATE ST, BOISE, ID 83703-2739
(083) 447-7992
(208) 344-7818
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
(208) 955-6503
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/02/2022
Last updated
12/08/2023
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