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Individual

DR. JENA SUE ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1201 E ROSS BYPASS ROAD, TAHLEQUAH, OK 74464
(918) 207-0991
(918) 456-7570
Mailing address
PO BOX 1008, TAHLEQUAH, OK 74465-1008
(918) 207-0991
(918) 456-7570

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19512
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100255330A
OK
Enumeration date
03/10/2006
Last updated
05/12/2010
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