Individual
MR. BLAKE AARON ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 200-3000
Mailing address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006543
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/17/2018
Last updated
10/16/2024
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