Individual
SCOTT TAGGART ROETHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E 14TH ST, SEDALIA, MO 65301-5972
(913) 735-0081
Mailing address
13725 METCALF AVE # 292, OVERLAND PARK, KS 66223-7899
(913) 735-0081
(913) 273-1020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
04-34107
KS
207L00000X
Anesthesiology Physician
Primary
2010042350
MO
208D00000X
General Practice Physician
M5909
TX
Other
Enumeration date
04/09/2007
Last updated
06/04/2019
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