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

Tara Nicole Rogers is a Surgical Physician Assistant based in Conway, 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 550 Club Ln, Conway, AR and can be reached out via phone at 501-329-1510 and via fax at 501-327-2495.

Location: 550 Club Ln, Conway, AR, 72034-3681
person
Provider Profile Details
NPI Number
1831409135
Provider Name
Tara Nicole Rogers
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
550 Club Ln, Conway, AR, 72034-3681
Phone Number
501-329-1510
Fax Number
501-327-2495
Provider Enumeration Date
10/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA513 01 AR LICENSE
institution
Provider Business Practice Location Address Details
Address
550 Club Ln
City
State
Zip
72034
Phone Number
501-329-1510
Fax Number
501-327-2495
person
Provider Business Mailing Address Details
Address
550 Club Ln
City
State
Zip
72034
Phone Number
501-329-1510
Fax Number
501-327-2495
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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