Individual
DR. DAVID B ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1155 W. PARKVIEW ST., SUITE 2D, BOLIVAR, MO 65613-7800
(417) 777-2663
(417) 777-2666
Mailing address
1155 W. PARKVIEW ST., SUITE 2D, BOLIVAR, MO 65613-7800
(417) 777-2663
(417) 777-2666
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R9H97
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200964600A
—
KS
05
—
202569430
—
MO
01
—
R9H97
STATE LICENSE NUMBER
MO
Enumeration date
11/09/2005
Last updated
12/31/2013
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