Individual
MR. DAVID T ROUSE JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2521 GLENN HENDREN DR, STE 104, LIBERTY, MO 64068-3388
(816) 781-1001
(816) 792-0408
Mailing address
2521 GLENN HENDREN DR, STE 104, LIBERTY, MO 64068-3388
(816) 781-1001
(816) 792-0408
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2004018557
MO
Other
Enumeration date
02/28/2006
Last updated
07/08/2007
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