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Individual

JEROME JOHN ROGICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, MD, DIMM

Contact information

Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 214-3930
(928) 214-3882

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A174255
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
A780935
AZ

Other

Enumeration date
04/03/2018
Last updated
03/06/2026
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