Christopher Rogowski, DDS | |
1100 F Ave, Douglas, AZ 85607-1919 | |
(520) 364-3285 | |
Not Available |
Full Name | Christopher Rogowski |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 1100 F Ave, Douglas, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497131510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D009498 (Arizona) | Primary |
122300000X | Dentist | DS040498 (Pennsylvania) | Secondary |
Entity Name | Salt River Pima-maricopa Indian Community |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942668991 PECOS PAC ID: 6204078025 Enrollment ID: O20150312001652 |
Mailing Address | Practice Location Address |
---|---|
Christopher Rogowski, DDS 155 Calle Portal, Ste. 100, Sierra Vista, AZ 85635-2900 Ph: (520) 459-3011 | Christopher Rogowski, DDS 1100 F Ave, Douglas, AZ 85607-1919 Ph: (520) 364-3285 |
Lisa Irish Deese, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1100 F Ave, Douglas, AZ 85607 Phone: 520-364-3285 Fax: 520-364-3378 | |
Dr. Kristine L. Gomez, DDS Dentist Medicare: Medicare Enrolled Practice Location: 720 E 11th St, Douglas, AZ 85607 Phone: 520-364-9718 Fax: 520-805-9391 | |
Mario Fragoso, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 F Ave, Douglas, AZ 85607 Phone: 520-364-1429 Fax: 520-364-4261 | |
Mauricio G. Larios, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1109 E 8th St, Douglas, AZ 85607 Phone: 619-831-0437 Fax: 619-785-3404 |