Individual
GENE ROXAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
533 JEFFERSON ST., SAINT CHARLES, MO 63301-2702
(636) 723-5116
(636) 896-9300
Mailing address
533 JEFFERSON ST, SAINT CHARLES, MO 63301-2702
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33327
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200190403
—
MO
Enumeration date
08/08/2006
Last updated
07/08/2007
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