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NPI Code Detail

MEDICARE: DR. CHRISTINA LOUISE ROGERS D.O.

MEDICARE: DR. CHRISTINA LOUISE ROGERS D.O.
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
1207V00000XObstetrics & Gynecology Physician222817NC
2207VF0040XUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician222817NC
3207VF0040XUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician009509AZ

General Provider Information

NPI Number : 1376774836
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINA LOUISE ROGERS D.O.
Provider Business Mailing Address
First Line : 14044 W CAMELBACK RD STE 118
Second Line :
City : LITCHFIELD PARK
State : AZ
Zip : 85340-9481
Country : US
Telephone Number : 623-547-2600
Fax Number : 623-547-1899
Provider Business Practice Location Address
First Line : 14044 W CAMELBACK RD STE 118
Second Line :
City : LITCHFIELD PARK
State : AZ
Zip : 85340-9481
Country : US
Telephone Number : 623-547-2600
Fax Number : 623-547-1899
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2009
Last Update Date : 03/28/2023

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