Individual
ALEXIS JADE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1550 S PIONEER WAY, MOSES LAKE, WA 98837-4613
(509) 793-9715
(509) 764-3255
Mailing address
1616 S PIONEER WAY, MOSES LAKE, WA 98837-2487
(509) 793-9715
(509) 764-3244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61491391
WA
207Q00000X
Family Medicine Physician
TP216
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2266702
—
WA
Enumeration date
04/06/2019
Last updated
05/04/2026
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