Individual
DR. ROGER KEITH OATMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2017 PLAZA DR, HARRISONVILLE, MO 64701-1264
(816) 380-2436
Mailing address
904 MCINTOSH CIR, BELTON, MO 64012-4740
(816) 331-5951
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2006005530
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74-2557028
FEDERAL (EMPLOYER) TAX ID #
TX
Enumeration date
04/16/2010
Last updated
04/16/2010
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