Organization
PAUL ROTTLER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ROTTLER M.D. (PRESIDENT)
(131) 496-6880
Entity
Organization
Contact information
Practice address
13625 BIG BEND ROAD, ST. LOUIS, MO 63122-5568
(131) 496-6888
(131) 496-6581
Mailing address
13625 BIG BEND ROAD, ST. LOUIS, MO 63122-5568
(131) 496-6888
(131) 496-6581
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
R9G51
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000008690
MEDICARE ID NUMBER
MO
Enumeration date
05/29/2009
Last updated
07/13/2009
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