Individual
MS. ANGELA YOUNG ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 855-3406
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 855-3406
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-02143
NC
363A00000X
Physician Assistant
Primary
0110-004595
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8102881
—
NC
Enumeration date
04/12/2010
Last updated
07/08/2015
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