Individual
MELVIN C ROOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 W JEFFERSON ST, NORTHEAST REGIONAL MEDICAL CENTER, KIRKSVILLE, MO 63501-1443
(660) 785-1000
(660) 785-1237
Mailing address
PO BOX 702, KIRKSVILLE, MO 63501-0702
(660) 785-1000
(660) 785-1237
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36957
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050072810
RAILROAD MEDICARE
—
05
—
0976845
—
IA
05
—
242695948
—
MO
05
—
2970012
—
IA
01
—
80173
HEALTHCARE USA
MO
01
—
8298
HEALTHCARE USA (GROUP)
MO
01
—
CG4336
RAILROAD MEDICARE
—
Enumeration date
07/14/2006
Last updated
11/16/2010
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