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MATTHEW RODGERS APRN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1043840549

Individual Registrant:
 MATTHEW  RODGERS APRN
Gender: M
Not Sole Proprietor

Location and contact information for practice:
178 HIGHWAY 167 N  BALD KNOB, AR 72010-4058 US
Tel: 501-724-6207  Fax: 501-724-3305

Contact information for business:
PO BOX 497  AUGUSTA, AR 72006-0497 US
Tel: 870-347-2534  Fax: --

Registration Information:
NPI: 1043840549
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AR123643

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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