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Individual

DR. DAVID A. ROSZHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 N. 1ST STREET, SPRINGFIELD, IL 62702
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036-062942
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036062942
IL
Enumeration date
10/02/2006
Last updated
12/30/2008
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