Individual
MR. ROBERT B ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
13401 N WESTERN AVE, STE. 301, OKLAHOMA CITY, OK 73114-1408
(405) 478-7111
(405) 360-6769
Mailing address
3400 W TECUMSEH RD, STE. 101, NORMAN, OK 73072-1810
(405) 360-6764
(405) 360-6769
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1242
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200003100A
—
OK
01
—
P00008411
RAILROAD MEDICARE
OK
Enumeration date
02/01/2006
Last updated
11/27/2018
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