Individual provider · Type 1 NPI
Stephen Rogers, PA-C
Surgical Physician Assistant · Cody, WY
NPI number
1093185191
Active
Practice location
424 Yellowstone Ave, Suite 140
Cody, WY 82414-9309
Fax (307) 527-7145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PT650 (WY) |
| Surgical Physician Assistant Primary | 363AS0400X | MED-PAC-LIC-68103 (MT) |
Surgical Physician Assistant: Definition to come...
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About NPI 1093185191
Stephen Rogers, PA-C's National Provider Identifier is 1093185191, issued on Oct 1, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Cody, WY. The record was last updated on Dec 14, 2021.