Individual
DESIRAI ANN ROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8888 LADUE RD STE 210, SAINT LOUIS, MO 63124
(314) 996-5900
(314) 996-5910
Mailing address
8888 LADUE RD STE 210, SAINT LOUIS, MO 63124-2056
(314) 996-5900
(314) 996-5910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2018020875
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2018020875
MO
Other
Enumeration date
06/17/2015
Last updated
03/15/2021
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