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Mr. Blake Aaron Rogers, PA-C
Medical Physician Assistant in South Boston, Virginia
NPI 1659842557

Blake Aaron Rogers is a Medical Physician Assistant based in Hinton, VA and is specialized in Medical. Blake Aaron Rogers practices in South Boston, VA and has the professional credentials of PA-C. The NPI Number for Blake Aaron Rogers is 1659842557 and holds a License No. (Virginia).

The current practice location address for Blake Aaron Rogers is 2210 Wilborn Ave, South Boston, VA and can be reached out via phone at 434-575-5864.

Location: 2210 Wilborn Ave, South Boston, VA, 22831-2102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659842557
Provider Name
Blake Aaron Rogers
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2210 Wilborn Ave, South Boston, VA, 22831-2102
Phone Number
434-575-5864
Fax Number
Provider Enumeration Date
12/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2210 Wilborn Ave
City
South Boston
State
Virginia
Zip
24592-1630
Phone Number
434-575-5864
Fax Number
person
Provider Business Mailing Address Details
Address
2210 Wilborn Ave
City
South Boston
State
Virginia
Zip
24592-1630
Phone Number
434-575-5864
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
0110006543 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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