# RODNEY TERRILL ROUTSONG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1346297488
- **Gender:** Man
- **Credential:** D.O., F.A.C.O.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | E4245 | AR | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 09/14/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 154759003 | — | AR |