RUSSELL C ROGERS

BIRMINGHAM, AL
NPI1124782859
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AL  1-166129)
Additional Taxonomies163W00000X Registered Nurse
(Licence: AL  1-166129)
Enumeration Date2021-10-28
Last Update Date2024-01-15
Business Address
RUSSELL C ROGERS
1201 11TH AVE S
BIRMINGHAM, AL 35205-3423
Phone number: 205-934-3411
Mailing Address
RUSSELL C ROGERS
1201 11TH AVE S
BIRMINGHAM, AL 35205-3423
Phone number: