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Individual

DR. FRANK D. ROAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0417
Mailing address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0417
(573) 596-0417

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R9J11
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
242690634
MO
Enumeration date
11/13/2006
Last updated
02/09/2023
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