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Individual

DR. ANDREW PHILLIPS ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2102 IDAHO STREET, ELKO, NV 89801
(775) 389-5777
Mailing address
2102 IDAHO ST, ELKO, NV 89801-2625
(214) 458-9132
(775) 360-3602

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
62361
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992064323
NV
01
V65514
PTAN
NV
Enumeration date
05/04/2012
Last updated
11/13/2024
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