Individual
DR. ROY S ROGERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
18074
AZ
207N00000X
Dermatology Physician
20146
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033517700
—
MN
01
—
070004448
RAILROAD MEDICARE
AZ
05
—
448945
—
AZ
01
—
P00625183
RR MEDICARE
AZ
Enumeration date
02/14/2006
Last updated
04/10/2013
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