Individual
ROGER ROBERT BARRETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1033 BREEZEWOOD DRIVE, CANONSBURG, PA 15317
(412) 335-9557
Mailing address
1033 BREEZEWOOD DR, CANONSBURG, PA 15317-8557
(412) 335-9557
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD026941E
PA
2086S0127X
Trauma Surgery Physician
Primary
MD026941E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011418810007
—
PA
05
—
03196774
—
NY
05
—
2007428000
—
WV
05
—
626040
—
OH
Enumeration date
12/14/2005
Last updated
12/06/2012
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