Individual
SCOTT F ROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1307 PORTER WAGONER BLVD, WEST PLAINS, MO 65775-1828
(417) 255-8645
(417) 255-8649
Mailing address
1307 PORTER WAGONER BLVD, WEST PLAINS, MO 65775-1828
(417) 255-8645
(417) 255-8649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002015295
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192322
BLUE CROSS BLUE SHIELD
MO
05
—
200447514
—
MO
01
—
678188
HEALTHLINK
MO
Enumeration date
11/01/2006
Last updated
02/01/2013
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