| 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 |
|---|---|
| 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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