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Individual

WILLIAM ROGERS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
829 CHIEF EDDIE HOFFMAN HWY, SUITE 150, BETHEL, AK 99559-0528
(907) 543-6100
(907) 543-6159
Mailing address
PO BOX 528, ATTN: BEHAVIORAL HEALTH, BETHEL, AK 99559-0528
(907) 543-6100
(907) 543-6159

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1020986
AK
Enumeration date
05/22/2015
Last updated
05/22/2015
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