Individual
DR. RICHARD GEORGE ROUGEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17679 WILDRIDGE DRIVE, WILDWOOD, MO 63005
(636) 519-8626
Mailing address
17679 WILDRIDGE DRIVE, WILDWOOD, MO 63005
(636) 519-8626
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2001002338
MO
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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