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Individual

SUNDANCE L ROGERS

Active
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Individual

SUNDANCE L ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00033047
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039581
LABOR AND INDUSTRIES #
WA
01
110217394
RAILROAD MEDICARE
WA
01
6701RO
BLUE SHIELD #
WA
05
8192486
WA
01
US0819159
AETNA SPECIALIST PIN
WA
01
US0900037
AETNA PCP PIN
WA
Enumeration date
10/02/2006
Last updated
07/02/2018
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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