Provider Demographics
NPI:1356546196
Name:ROGERS, CINDY L
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:L
Last Name:ROGERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8539 HWY 82
Mailing Address - Street 2:
Mailing Address - City:HULBERT
Mailing Address - State:OK
Mailing Address - Zip Code:74441
Mailing Address - Country:US
Mailing Address - Phone:918-598-3472
Mailing Address - Fax:
Practice Address - Street 1:8539 HWY 82
Practice Address - Street 2:
Practice Address - City:HULBERT
Practice Address - State:OK
Practice Address - Zip Code:74441
Practice Address - Country:US
Practice Address - Phone:918-598-3472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist