Individual
THOMAS G ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
150 W 800 N, PROVO, UT 84601-1624
(801) 375-5353
(801) 375-5395
Mailing address
150 W 800 N, PROVO, UT 84601-1624
(801) 375-5353
(801) 375-5395
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
103496-0501
UT
Other
Enumeration date
11/09/2005
Last updated
06/19/2012
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