Edwin Roeder MD

NPI 1003812645 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1003812645
Gender Male
Enumeration Date 06/27/2005
Last Updated 06/17/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
2828 N NATIONAL AVE
SPRINGFIELD MO, 65803-4306, US
Phone (417) 837-4003
Fax (417) 875-4782
Business Location
2828 N NATIONAL AVE
SPRINGFIELD MO, 65803-4306, US
Phone (417) 837-4003
Fax (417) 875-4782
Toxanomy
Taxonomy Code 207X00000X
License State Missouri
License Number 112519
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According to our database, Dr. Edwin Roeder MD NPI is 1003812645, taxonomy code is 207X00000X and license number is 112519, license state is located at Missouri. Edwin Roeder MD physically located at 2828 N National Ave, Springfield MO, 65803-4306. NPI Number Edwin Roeder MD has the Individual type.

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1003812645 NPI number is provided on an as is basis without warranty of any kind. 1003812645 is maintained by the National Plan & Provider Enumeration System. The contents of Edwin Roeder MD are for informational purposes only.