Individual
MR. DAVID RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 524-6517
Mailing address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 524-6517
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LP60080597
WA
171000000X
Military Health Care Provider
1145181
—
363A00000X
Physician Assistant
Primary
PA60815222
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2121865
—
WA
Enumeration date
09/03/2014
Last updated
03/18/2025
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