Individual
DR. ROGER STUART BOTHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97470-6523
(541) 440-1000
Mailing address
2805 NW KLINE ST, ROSEBURG, OR 97470-5552
(541) 680-4145
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD07336
OR
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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