Mr. Charles Lewis Rogers, OPA-C
Mr. Charles Lewis Rogers, OPA-C is a Surgical Assistant in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
1111 Trinity Ln Ste 111Bloomington, IL 61704-8111
Phone: (309) 663-6461
Fax: (309) 663-5711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Assistant (primary) | Taxonomy 246ZC0007X · Licence 238.000269 (IL) |
|---|
Record details
| NPI number | 1235258260 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OPA-C |
| Sole proprietor | No |
| NPI enumerated | March 29, 2007 |
| Last updated in NPPES | January 9, 2017 |
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