Individual
DR. PAUL ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M
Contact information
Practice address
224 RAILROAD ST, JOHNSON, VT 05656-9103
(802) 635-7325
Mailing address
224 RAILROAD ST, JOHNSON, VT 05656-9103
(802) 635-7325
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420006199
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005277
—
VT
Enumeration date
06/15/2006
Last updated
09/07/2007
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