Individual
STEVEN A ROODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 W DEYOUNG ST, MARION, IL 62959-5884
(618) 998-7000
Mailing address
PO BOX 503256, SAINT LOUIS, MO 63150-0001
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036108956
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108956
—
IL
01
—
P00068429
RR MEDICARE
IL
Enumeration date
12/15/2005
Last updated
04/24/2009
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