Amanda J. Rogde, P.A.

NPI #1154423028 in Mendota, Illinois

Provider Information

NPI Number: 1154423028
Entity Type: Individual
Name: Amanda J. Rogde, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Sep 2, 2006
Last Updated: Jul 13, 2007

Practice Location

Address: 1404 WASHINGTON ST
City: Mendota
State: Illinois
ZIP Code: 61342-1471
Phone: (815) 538-1825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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