Individual
DR. JEFFREY S ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4160 LITTLE YORK ROAD, SUITE 10, DAYTON, OH 45414-5803
(937) 415-9100
(937) 415-9191
Mailing address
PO BOX 713130, CINCINNATI, OH 45271-0001
(937) 415-9100
(937) 415-9191
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
34006038
OH
208VP0000X
Pain Medicine Physician
Primary
34006038
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050045417
RAILROAD MEDICARE
OH
05
—
0994885
—
OH
01
—
P00629174
RR MEDICARE
OH
Enumeration date
08/22/2006
Last updated
10/06/2011
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