Individual
BRIAN DAVID ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
CMG VILLAGE-MAIN, 4830 RUCKER ROAD, MONETA, VA 24121-5281
(540) 297-7181
(540) 297-6145
Mailing address
CMG VILLAGE-MAIN, 4830 RUCKER ROAD, MONETA, VA 24121-5281
(540) 297-7181
(540) 297-6145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102207851
VA
390200000X
Student in an Organized Health Care Education/Training Program
ED0921A
WV
Other
Enumeration date
05/23/2020
Last updated
07/13/2023
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