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NPI Code Detail

MEDICARE: PAUL WESLEY ROGERS JR. MD

MEDICARE:   PAUL WESLEY ROGERS JR. MD
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
1207P00000XEmergency Medicine Physician00017686AL

Other Identifiers

General Provider Information

NPI Number : 1437107349
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL WESLEY ROGERS JR. MD
Provider Business Mailing Address
First Line : 1232 W 28TH PL
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-3404
Country : US
Telephone Number : 850-215-6303
Fax Number : 850-215-6304
Provider Business Practice Location Address
First Line : 1232 W 28TH PL
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-3404
Country : US
Telephone Number : 850-215-6303
Fax Number : 850-215-6304
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 05/20/2008

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Directions to “ PAUL WESLEY ROGERS JR. MD” Practice Location

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