| Organization Name: | PAUL ROGERS MD |
| NPI Number: | 1003261942 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL ROGERS (PROPRIETOR) |
| Mailing Address: | 224 Railroad St Johnson |
| State: | VT US |
| Postal Code: | 056569103 |
| Phone Number: | 8026357325 |
| Fax Number: | 8026359825 |
| NPI Enumeration Date: | 04/28/2016 |
| NPI Last Update Date: | 04/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 0420006199 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |