Individual
DR. ROGER J. REMBECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
965 MATTOX DR, SULLIVAN, MO 63080-2365
(573) 860-6000
(573) 860-6016
Mailing address
965 MATTOX DR, SULLIVAN, MO 63080-2365
(573) 860-6000
(573) 860-6016
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
107596
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204720205
—
MO
Enumeration date
11/13/2006
Last updated
05/14/2021
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