Randall D. Roush, MD
Orthopaedic Surgery Physician · Bridgeton, MO
Practice location
12266 Depaul Dr110
Bridgeton, MO 63044-2514
- Phone
- (314) 291-7900
- Fax
- (314) 291-7914
NPI record
- NPI
- 1255357091
- Entity type
- Individual (Type 1)
- Enumeration date
- July 14, 2006
- Last updated
- March 3, 2011
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Physician Primary | 207X00000X |
R9C72 | MO |
Mailing address
1805 Summer Blossom PlChesterfield, MO 63017-5672
About Dr. Roush
Randall D. Roush, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Orthopaedic Surgery Physician (code 207X00000X). The practice location is 12266 Depaul Dr, 110, Bridgeton, MO 63044-2514. The NPI number 1255357091 was assigned on July 14, 2006 and the record was last updated on March 3, 2011.
Dr. Roush lists a license in the registry: #R9C72 (MO) for Orthopaedic Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Randall D. Roush, MD?
The NPI number is 1255357091.
What is the phone number of Dr. Roush?
The phone number listed for the practice location is (314) 291-7900.
Where is Dr. Roush located?
12266 Depaul Dr, 110, Bridgeton, MO 63044-2514.
What is the taxonomy code for Dr. Roush?
The primary taxonomy code is 207X00000X – Orthopaedic Surgery Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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