Doctor Name: | STEPHEN L ROGERS |
NPI Number: | 1134263841 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPH |
License Number: | 11414 |
Business Practice Address: | 2500 S Havana St Aurora, CO - 800141618 |
Business Phone Number: | 3033384588 |
Business Fax Number: | |
Mailing Address: | 2500 S Havana St, AURORA |
State: | CO |
Postal Code: | 800141618 |
Phone Number: | 3033384434 |
Fax Number: | 3033384422 |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 11414 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |