Individual
RODGER SAMUEL AGRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
880 ALDER AVE, INCLINE VILLAGE, NV 89451-8215
(775) 832-5555
(775) 832-5559
Mailing address
880 ALDER AVE, INCLINE VILLAGE, NV 89451-8215
(775) 832-5555
(775) 832-5559
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD5740
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002013035
—
NV
Enumeration date
09/27/2006
Last updated
05/20/2010
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