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NPI Code Detail

MEDICARE: P. BRIAN ROGERS, M.D., INC. P.S.

MEDICARE: P. BRIAN ROGERS, M.D., INC. P.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician

General Provider Information

NPI Number : 1134234883
Entity Type Code : Organization
Provider Name (Legal Business Name) : P. BRIAN ROGERS, M.D., INC. P.S.
Provider Business Mailing Address
First Line : 1727 W COLLEGE ST
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-4913
Country : US
Telephone Number : 406-587-4432
Fax Number : 406-587-7015
Provider Business Practice Location Address
First Line : 1727 W COLLEGE ST
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-4913
Country : US
Telephone Number : 406-587-4432
Fax Number : 406-587-7015
Authorized Official
Title or Position : MEDICAL OFFICE ASSISTANT
Name : JAN SCOFFIELD
Credential :
Telephone Number : 406-586-0903
Provider Enumeration Date : 08/21/2006
Last Update Date : 09/20/2011

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Directions to “P. BRIAN ROGERS, M.D., INC. P.S. ” Practice Location

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