Provider Demographics
NPI:1194703801
Name:ROGERS, ARON F (DO)
Entity type:Individual
Prefix:
First Name:ARON
Middle Name:F
Last Name:ROGERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 516588
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90051-0598
Mailing Address - Country:US
Mailing Address - Phone:702-671-5005
Mailing Address - Fax:702-895-4014
Practice Address - Street 1:1524 PINTO LN FL 2
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4195
Practice Address - Country:US
Practice Address - Phone:702-992-6888
Practice Address - Fax:702-988-6860
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV1110207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1194703801Medicaid
NV1194703801Medicaid
NVBR6953651OtherDEA
NVCS10028OtherPHARMACY/CDS