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NPI Code Detail

MEDICARE: DR ROGAN & ASSOCIATES PC

MEDICARE: DR ROGAN & ASSOCIATES 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
1261Q00000XClinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000190729OTHERINANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851589832
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR ROGAN & ASSOCIATES PC
Provider Business Mailing Address
First Line : 8475 DAUBY LN
Second Line :
City : TELL CITY
State : IN
Zip : 47586-8346
Country : US
Telephone Number : 812-547-1377
Fax Number : 812-547-3695
Provider Business Practice Location Address
First Line : 8475 DAUBY LN
Second Line :
City : TELL CITY
State : IN
Zip : 47586-8346
Country : US
Telephone Number : 812-547-1377
Fax Number : 812-547-3695
Authorized Official
Title or Position : OWNER
Name : DR. JAMES RICHARD ROGAN II
Credential : MD
Telephone Number : 812-547-1377
Provider Enumeration Date : 10/04/2007
Last Update Date : 11/01/2007

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Directions to “DR ROGAN & ASSOCIATES PC ” Practice Location

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