Individual
MARK B ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 268-5757
(316) 291-7496
Mailing address
2100 POWELL ST, STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-27740
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200262030A
—
KS
Enumeration date
06/02/2006
Last updated
12/05/2017
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