Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174V00000X | Clinical Ethicist |
NPI | 1508152331 |
---|---|
Provider Name | Mr. Daniel Rogers |
First Address | Midwest City, OK 73110-5809 |
Second Address | Midwest City, OK 73110-5809 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2011 |
Last Update Date | 30/01/2013 |