Canonical ID: us-medmo-02f66ca0d3dfcc55ee3850e056d2383318f19777 · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:country | us | eng | us_mo_med_exclusions | us-medmo-02f66ca0d3dfcc55ee3850e056d2383318f19777 | |||
LegalEntity:description | License number: 2010042350 | eng | us_mo_med_exclusions | us-medmo-02f66ca0d3dfcc55ee3850e056d2383318f19777 | |||
LegalEntity:id | f174c86bcccf8189b75731baf616927aa1d63c2c | eng | us_mo_med_exclusions | us-medmo-02f66ca0d3dfcc55ee3850e056d2383318f19777 | |||
LegalEntity:name | ROETHLE, SCOTT TAGGART | eng | us_mo_med_exclusions | us-medmo-02f66ca0d3dfcc55ee3850e056d2383318f19777 | |||
LegalEntity:npiCode | 1639292329 | eng | us_mo_med_exclusions | us-medmo-02f66ca0d3dfcc55ee3850e056d2383318f19777 | |||
LegalEntity:sector | 20-PHYSICIAN | eng | us_mo_med_exclusions | us-medmo-02f66ca0d3dfcc55ee3850e056d2383318f19777 | |||
LegalEntity:topics | debarment | eng | us_mo_med_exclusions | us-medmo-02f66ca0d3dfcc55ee3850e056d2383318f19777 | |||