Stephen S. Rotholz, Md Pc

NPI 1164467890 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1164467890
Enumeration Date 06/17/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STEPHEN S. STEPHEN
Position CEO
Phone (307) 857-5217
Fax (307) 857-5215
Practice Location
1005 COLLEGE VIEW DR
RIVERTON WY, 82501-2266, US
Phone (307) 857-5217
Fax (307) 857-5215
Business Location
1005 COLLEGE VIEW DR
RIVERTON WY, 82501-2266, US
Phone (307) 857-5217
Fax (307) 857-5215
Toxanomy
Taxonomy Code 207V00000X
License State Wyoming
License Number 6925A
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According to our database, Stephen S. Rotholz, Md Pc NPI is 1164467890, taxonomy code is 207V00000X and license number is 6925A, license state is located at Wyoming. Stephen S. Rotholz, Md Pc physically located at 1005 College View Dr, Riverton WY, 82501-2266. NPI Number 1033115704 has the healthcare provider type.

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1164467890 NPI number is provided on an as is basis without warranty of any kind. 1164467890 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen S. Rotholz, Md Pc are for informational purposes only.