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Organization

ROGER E. DER, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROGER E DER M.D. (PRESIDENT)
(661) 253-8504
Entity
Organization

Contact information

Practice address
23845 MCBEAN PKWY, VALENCIA, CA 91355-2001
(661) 253-8504
(661) 253-8647
Mailing address
PO BOX 2311, CHATSWORTH, CA 91313-2311
(818) 718-9500
(818) 718-9507

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A657530
CA
Enumeration date
09/09/2005
Last updated
06/06/2008
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