Individual
DR. THOMAS W. ROSSITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3231 S NATIONAL AVE, SPRINGFIELD, MO 65807-7304
(417) 888-5658
(417) 841-0104
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R4N80
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203443213
—
MO
Enumeration date
12/26/2006
Last updated
02/13/2013
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