MR. Charles Lewis Rogers, OPA-C
NPI #1235258260 in Bloomington, Illinois
Provider Information
- NPI Number
- 1235258260
- Entity Type
- Individual
- Name
- MR. Charles Lewis Rogers, OPA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other - Surgical Assistant
- Credential
- OPA-C
- Enumeration Date
- Mar 29, 2007
- Last Updated
- Jan 9, 2017
Practice Location
- Address
- 1111 TRINITY LN
- Address 2
- SUITE 111
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-8111
- Phone
- (309) 663-6461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
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