Individual
DR. MARK BRANDON ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3700 S MAIN ST, SUITE A, BLACKSBURG, VA 24060-7017
(540) 443-7180
(540) 443-7182
Mailing address
3700 S MAIN ST, SUITE A, BLACKSBURG, VA 24060-7017
(540) 443-7180
(540) 443-7182
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0102201857
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
116912
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
309761
ANTHEM
VA
Enumeration date
03/29/2007
Last updated
02/07/2014
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