Individual
DR. PAUL D ROTTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 COUCH AVE, SUITE 120, SAINT LOUIS, MO 63122-5568
(314) 966-8880
(314) 966-5811
Mailing address
505 COUCH AVE, SUITE 120, SAINT LOUIS, MO 63122-5568
(314) 966-8880
(314) 966-5811
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
R9G51
MO
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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