| NPI | 1609915289 |
|---|---|
| Professional Name | C. LELAND ROGERS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: AZ 19904) |
| Additional Taxonomies | 2085R0001X (Licence: UT 176840-1205) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2018-09-18 |