Jerry Paul Rogers Family Practice
801 Belsly Blvd S, Moorhead, MN 56560-5055

Jerry Paul Rogers is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1457381980. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 3779672472. The primary specialty is FAMILY PRACTICE. The organization is INNOVIS HEALTH, LLC. The address is 801 Belsly Blvd S, Moorhead, MN 56560-5055. The zip code is 56560.

Jerry Paul Rogers · 801 Belsly Blvd S, Moorhead, MN 56560-5055

Nation Provider ID 1457381980
PAC ID by PECOS 3779672472
Professional Enrollment ID I20080128000488
Last Name ROGERS
First Name JERRY
Middle Name PAUL
Gender M
Graduation Year 1979
Primary Specialty FAMILY PRACTICE
Primary Specialty INNOVIS HEALTH, LLC
Phone Number 7013646800
Group Practice PAC ID 9931298155
Number of Group Practice Members 376
Address 801 BELSLY BLVD S
MOORHEAD, MN 565605055
Claims Based Hospital Affiliation