Provider Demographics
NPI:1558359091
Name:ROWLES, ROGER B (MD)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:B
Last Name:ROWLES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3003 TIETON DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3679
Mailing Address - Country:US
Mailing Address - Phone:509-453-7109
Mailing Address - Fax:509-453-3659
Practice Address - Street 1:3003 TIETON DR
Practice Address - Street 2:SUITE 240
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3679
Practice Address - Country:US
Practice Address - Phone:509-453-7109
Practice Address - Fax:509-453-3659
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2007-10-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00017159207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1436500Medicaid
WA1436500Medicaid