Individual
MR. GUY A. ROGERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 887-2290
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051798
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02667774
—
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039823
PA MEDICARE GROUP
PA
01
—
P00173978
RR MEDICARE PIN
PA
Enumeration date
02/17/2006
Last updated
03/05/2021
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