Individual
SARAH ROUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
416 MAIN ST, BELTON, MO 64012-2512
(816) 912-9601
Mailing address
266 RAY KREBBS AVE, BELTON, MO 64012-4541
(816) 591-8345
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
100-99302
KS
374700000X
Technician
Primary
2023027168
MO
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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