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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MARK R ROGOW, MD
309 E RAY FINE BLVD
ROLAND, OK74954-5160
 Phone: 918-503-6276
 Fax: 918-503-6294
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/General Practice
Indicates primary specialty

NPI Profile & details for MARK R ROGOW · (Male)

NPI Number 1861444572
Credentials MD
Entity Individual
Enumeration date 05/17/2006
Last updated 04/18/2014 - About 2 years ago
Sole proprietor 1 No
Identifiers
OK License # 27009
OK Medicaid 200245750A
Hospital affiliation(s)
  • EASTERN OKLAHOMA MEDICAL CENTER - (Acute Care)
    105 WALL STREET
    POTEAU, OK 74953
  • MCALESTER REGIONAL HEALTH CENTER - (Acute Care)
    ONE CLARK BASS BOULEVARD
    MCALESTER, OK 74501
  • SEQUOYAH MEMORIAL HOSPITAL - (Acute Care)
    213 EAST REDWOOD
    SALLISAW, OK 74955
  • SPARKS REGIONAL MEDICAL CENTER - (Acute Care)
    1001 TOWSON AVENUE
    FORT SMITH, AR 72902
  • TAHLEQUAH CITY HOSPITAL - (Acute Care)
    1400 EAST DOWNING STREET
    TAHLEQUAH, OK 74465
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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