Individual
LEAH MARIE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1771 COMMERCIAL ST, WARSAW, MO 65355-3096
(660) 438-5193
Mailing address
1771 COMMERCIAL ST, WARSAW, MO 65355-3096
(660) 438-5193
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2016033201
MO
363A00000X
Physician Assistant
PAC0478
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71047
—
ND
Enumeration date
06/04/2012
Last updated
11/16/2021
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