| Doctor Name: | ROGER RHOLDON |
| NPI Number: | 1356757280 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | AP07699 |
| Business Practice Address: | 6100 Cameron St Scott, LA - 705835144 |
| Business Phone Number: | 3372896770 |
| Business Fax Number: | |
| Mailing Address: | 6100 Cameron St, SCOTT |
| State: | LA |
| Postal Code: | 705835144 |
| Phone Number: | 3372896770 |
| Fax Number: | |
| NPI Enumeration Date: | 07/11/2014 |
| NPI Last Update Date: | 07/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0222X |
| License Number: | AP07699 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics, Critical Care |
| Taxonomy Definition: | |