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Miss Tara Nicole Rogers, PA
Surgical Physician Assistant in Conway, Arkansas
NPI 1831409135

Tara Nicole Rogers is a Surgical Physician Assistant based in Little Rock, AR and is specialized in Surgical. Tara Nicole Rogers practices in Conway, AR and has the professional credentials of PA. The NPI Number for Tara Nicole Rogers is 1831409135 and holds a License No. (Arkansas).

The current practice location address for Tara Nicole Rogers is 505 E Dave Ward Dr, Conway, AR and can be reached out via phone at 501-500-3500 and via fax at 501-904-3620.

Location: 505 E Dave Ward Dr, Conway, AR, 72204-1720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831409135
Provider Name
Tara Nicole Rogers
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
505 E Dave Ward Dr, Conway, AR, 72204-1720
Phone Number
501-500-3500
Fax Number
501-904-3620
Provider Enumeration Date
10/20/2010
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA513 01 AR LICENSE
institution
Provider Business Practice Location Address Details
Address
505 E Dave Ward Dr
City
Conway
State
Arkansas
Zip
72032-7825
Phone Number
501-500-3500
Fax Number
501-904-3620
person
Provider Business Mailing Address Details
Address
505 E Dave Ward Dr
City
Conway
State
Arkansas
Zip
72032-7825
Phone Number
501-500-3500
Fax Number
501-904-3620
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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