DERRICK THOMAS ROGERS MD
Individual Provider (NPI-1)
Active
Otolaryngology
Provider Information
- NPI Number
1013916345- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2525 W UNIVERSITY AVE SUITE 501, MUNCIE, IN, 473033421
- Phone
- (765) 284-2172
- Fax
- (765) 288-1292
Specialties & Taxonomies
Otolaryngology
License: OH #35.084101
Otolaryngology
Primary License: IN #01066844