Individual
SCOTT R. ROUSTIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8422 BRAESWOOD ESTATES DR, O FALLON, IL 62269-4235
(618) 624-0091
Mailing address
8422 BRAESWOOD ESTATES DR, O FALLON, IL 62269-4235
(618) 624-0091
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-087697
IL
Other
Enumeration date
01/19/2007
Last updated
05/20/2013
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