Individual
ROGER GORDON VIETH
Active
Individual
ROGER GORDON VIETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD5529
TN
208VP0000X
Pain Medicine Physician
MD5529
TN
Other
Enumeration date
05/25/2010
Last updated
06/10/2010
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