Roger Jenkins Md Plc | |
172 E Merritt St Suite C Prescott AZ 86301-2026 | |
(928) 717-0077 | |
(928) 717-0141 |
Full Name | Roger Jenkins Md Plc |
---|---|
Speciality | Family Medicine |
Location | 172 E Merritt St, Prescott, Arizona |
Authorized Official Name and Position | Roger C. Jenkins (PHYSICIAN/OWNER) |
Authorized Official Contact | 9287170077 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Roger Jenkins Md Plc 172 E Merritt St Suite C Prescott AZ 86301-2026 Ph: (928) 717-0077 | Roger Jenkins Md Plc 172 E Merritt St Suite C Prescott AZ 86301-2026 Ph: (928) 717-0077 |
NPI Number | 1144415084 |
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Provider Enumeration Date | 09/13/2007 |
Last Update Date | 09/13/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144415084 | NPI | - | NPPES |
34543 | Other | AZ | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34543 (Arizona) | Primary |
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