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NPI Code Detail

MEDICARE: DR. ROGER LOUIS MCGARGILL PH.D.

MEDICARE:  DR. ROGER LOUIS MCGARGILL  PH.D.
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
1237600000XAudiologist-Hearing Aid Fitter25NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972784478
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROGER LOUIS MCGARGILL PH.D.
Provider Business Mailing Address
First Line : 4509 LEAVENWORTH ST
Second Line :
City : OMAHA
State : NE
Zip : 68106-1418
Country : US
Telephone Number : 402-558-0440
Fax Number : 402-558-7794
Provider Business Practice Location Address
First Line : 4509 LEAVENWORTH ST
Second Line :
City : OMAHA
State : NE
Zip : 68106-1418
Country : US
Telephone Number : 402-558-0440
Fax Number : 402-558-7794
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2007
Last Update Date : 11/26/2007

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Directions to “ DR. ROGER LOUIS MCGARGILL PH.D.” Practice Location

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