Individual
DR. ROGER WILLIAMS CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1432 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2444
(573) 632-4860
(573) 632-4998
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
R8786
MO
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
R8786
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200032999
RAILROAD MEDICARE
MO
05
—
241795715
—
MO
Enumeration date
02/10/2006
Last updated
01/24/2014
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