MEDICARE: HEIDI C ROGERS MD PC

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
1	207RR0500X	Rheumatology Physician

General Provider Information

NPI Number	:	1356801450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEIDI C ROGERS MD PC

Provider Business Mailing Address
First Line	:	595 CHAPEL HILLS DR STE 201
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-1056
Country	:	US
Telephone Number	:	719-475-9613
Fax Number	:	719-475-9539

Provider Business Practice Location Address
First Line	:	595 CHAPEL HILLS DR STE 201
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-1056
Country	:	US
Telephone Number	:	719-475-9613
Fax Number	:	719-475-9539

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	HEIDI CHRISTINA ROGERS
Credential	:	MD
Telephone Number	:	719-475-9613

Provider Enumeration Date	:	03/23/2019
Last Update Date	:	03/23/2019

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