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NPI Code Detail

MEDICARE: ELIZABETH L ROGERS PA-C

MEDICARE: ELIZABETH L ROGERS PA-C
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
1363A00000XPhysician Assistant10521222-1206UT
2363A00000XPhysician Assistant165301AK
3363A00000XPhysician AssistantPAC0852ND
4247200000XOther Technician

General Provider Information

NPI Number : 1588833453
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH L ROGERS PA-C
Provider Business Mailing Address
First Line : PO BOX 5210
Second Line :
City : GRAND FORKS
State : ND
Zip : 58206-5210
Country : US
Telephone Number : 701-205-3000
Fax Number : 701-732-2501
Provider Business Practice Location Address
First Line : 3674 S WASHINGTON ST
Second Line :
City : GRAND FORKS
State : ND
Zip : 58201-5766
Country : US
Telephone Number : 701-205-3000
Fax Number : 701-732-2501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2008
Last Update Date : 01/27/2026

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Directions to “ ELIZABETH L ROGERS PA-C” Practice Location

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