Individual provider · NPI-1

Dr. Paul Rogers, M

Family Medicine · Johnson, VT

NPI number1851335269
StatusActive
Last updated in NPPESSep 7, 2007

Details

NPI
1851335269
Entity type
Individual (NPI-1)
Name
Dr. Paul Rogers
Credential
M
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 15, 2006
Last updated
Sep 7, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine0420006199VTYes

Practice location

224 Railroad St
Johnson, VT 05656-9103

Phone 802-635-7325

Mailing address

224 Railroad St
Johnson, VT 05656-9103

Phone 802-635-7325

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