Individual
DR. DONALD JAY ROSHAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1060 W 10TH ST, ROLLA, MO 65401-2905
(855) 406-3324
(573) 458-8363
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2024024347
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
AZ
Other
Enumeration date
05/24/2019
Last updated
08/16/2024
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