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Mr. Roger M Fogg, FNP-C
Family Nurse Practitioner in Grants Pass, Oregon
NPI 1558467852

Roger M Fogg is a Family Nurse Practitioner based in Grants Pass, OR and is specialized in Family. Roger M Fogg practices in Grants Pass, OR and has the professional credentials of FNP-C. The NPI Number for Roger M Fogg is 1558467852 and holds a License No. 200350113NP FNP-PP (Oregon).

The current practice location address for Roger M Fogg is 8600 New Hope Rd, Grants Pass, OR and can be reached out via phone at 541-862-2836 and via fax at 541-862-2806.

Location: 8600 New Hope Rd, Grants Pass, OR, 97527-8978
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Provider Profile Details
NPI Number
1558467852
Provider Name
Roger M Fogg
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
8600 New Hope Rd, Grants Pass, OR, 97527-8978
Phone Number
541-862-2836
Fax Number
541-862-2806
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
298515 05 OR
institution
Provider Business Practice Location Address Details
Address
8600 New Hope Rd
City
State
Zip
97527-8978
Phone Number
541-862-2836
Fax Number
541-862-2806
person
Provider Business Mailing Address Details
Address
8600 New Hope Rd
City
State
Zip
97527-8978
Phone Number
541-862-2836
Fax Number
541-862-2806
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
200350113NP FNP-PP (Oregon)
Definition
Definition to come...
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