Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ROGER A DOAK, AT
ActiveMR. ROGER A DOAK, AT is a Athletic Trainer healthcare provider located in PORTLAND, Michigan. NPI 1629617402 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PORTLAND, MI
Registration Details
- NPI Number
- 1629617402
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 27, 2019 (6.5890758481208 yrs)
- Last Updated
- Dec 27, 2019
- License
-
2601000486 (MI)
Practice Information
- Address
-
1100 IONIA RDPORTLAND, MI, 488751035Browse MI providers · Browse ZIP 48875
- Phone
- 6167801188
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.