Individual
CHARLES GILBERT ROGERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20404 MITCH RD, BOGALUSA, LA 70427-8844
(985) 750-9288
(985) 735-1205
Mailing address
20404 MITCH RD, BOGALUSA, LA 70427-8844
(985) 750-9288
(985) 735-1205
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
019135
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376345
—
LA
Enumeration date
03/09/2007
Last updated
10/15/2008
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