Individual
ABBY JENNIFER ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4840 LARIMER PKWY BLDG 1, JOHNSTOWN, CO 80534-9012
(970) 624-2830
(970) 624-2831
Mailing address
4840 LARIMER PKWY BLDG 1, JOHNSTOWN, CO 80534-9012
(970) 624-2830
(970) 624-2831
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005283
CO
363A00000X
Physician Assistant
PT752
WY
Other
Enumeration date
04/11/2018
Last updated
11/25/2020
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