Individual
DR. DOUGLAS ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354
(909) 557-3284
Mailing address
24736 DAISY AVE, LOMA LINDA, CA 92354-3307
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9189082-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2013
Last updated
11/16/2021
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