Individual
MR. TIMOTHY C ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.A.
Contact information
Practice address
23425 HIGHWAY 1084, COVINGTON, LA 70435-6652
(985) 893-2006
Mailing address
23425 HIGHWAY 1084, COVINGTON, LA 70435-6652
(985) 893-2006
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
10 LA 1402
WY
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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