ROGER ROGALSKI MD CHTD
Medical Practice at South Ave, South Lake Tahoe, CA

License number
California G71822
Category
Medical Practice
Type
Orthopaedic Surgery
License number
California 6391
Category
Medical Practice
Type
Orthopaedic Surgery
License number
California G71822
Category
Medical Practice
Type
Sports Medicine
License number
California 6391
Category
Medical Practice
Type
Sports Medicine
Owner
Name: ROGER PAUL ROGALSKI MD
Title: PRES SEC ETC
Phone: (775) 841-9991
Address
Address 2
2169 South Ave SOUTH, South Lake Tahoe, CA 96150
2874 N Carson St #105, Carson City, NV 89706
National Provider ID: 1437193869
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROGER ROGALSKI, M.D., CHTD

2874 N Carson St SUITE 105, Carson City, NV 89706

Status:
Inactive
Industry:
Nonclassifiable Establishments, Offices and Clinics of Medical Doctors, N
Doing business as:
Roger Rogalski MD CHTD
Registration:
Apr 30, 2004
Phone:
(775) 841-9991 (Phone), (775) 841-9485 (Fax)
State ID:
C2650221
Business type:
Domestic Professional Corporation
MD, Secretary, Treasurer, Director, President:
Roger Rogalski (MD, Secretary, Treasurer, Director, President)
Agent:
Roger P Rogalski,South Lake Tahoe, CA 96150 (Physical)
Categories:
Physicians-Specialists

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