Individual
DR. MICHAEL ROGOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 491-9480
Mailing address
PO BOX 5007, LACEY, WA 98509-5007
(800) 599-0166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00020928
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0186413
WA L &I
—
01
—
5091RO
REGENCE BS
—
05
—
8100810
—
WA
01
—
8938287
WA CRIME VICTIMS
—
01
—
F13715
GROUP HEALTH
—
Enumeration date
06/21/2006
Last updated
07/08/2007
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