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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | ROETHLE, SCOTT TAGGART | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | License number: 2010042350 | [sources] | |||
| NPI | 1639292329 | [sources] | |||
| Sector | 20-PHYSICIAN | [sources] | |||
| Status | not available | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from Missouri's Medicaid program.
United States · MMAC
us-npi-1639292329 · us-medmo-02f66ca0d3dfcc55ee3850e056d2383318f19777For experts: raw data explorer
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