Provider Demographics
NPI:1790892008
Name:ROGNESS, CHRISTINE D (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:D
Last Name:ROGNESS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9399 CROWN CREST BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8506
Mailing Address - Country:US
Mailing Address - Phone:303-805-1855
Mailing Address - Fax:303-805-4421
Practice Address - Street 1:9399 CROWN CREST BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8506
Practice Address - Country:US
Practice Address - Phone:303-805-1855
Practice Address - Fax:303-805-4421
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO35124208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO64475565Medicaid
CO01351246Medicaid
COC524078Medicare PIN
COCO305478Medicare PIN