Search › Oklahoma › 363A00000X
Jackson Rodgers, PHYSICIAN ASSISTANT
NPI 1760005664 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1000 N Lee Ave
Oklahoma City, OK 73102 - Phone
- (405) 272-7000
- Organisation at this address
- Covenant Wc Llc
Pathology Group Pc
Philip C Bryan Md Pllc
Erin N Goranson Md Pllc
Jeffrey Thompson Md PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 167
Additional practice sites
- 5a Whispering Pines Ct, Macon, IL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
390200000X - Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma