Individual
JACOB ROUQUETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5830 NW BARRY RD, KANSAS CITY, MO 64154-2778
(816) 932-3679
(816) 932-9089
Mailing address
5830 NW BARRY RD, KANSAS CITY, MO 64154-2778
(816) 932-3679
(816) 932-9089
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2016018500
MO
Other
Enumeration date
04/06/2016
Last updated
01/18/2024
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