Individual
MELVIN C ROOF
Active
Individual
MELVIN C ROOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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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