Individual
DR. SCOTT T ROTTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6400 DUTCHMANS PKWY, STE215, LOUISVILLE, KY 40205-3340
(502) 721-8288
(502) 721-8792
Mailing address
6400 DUTCHMANS PKWY, STE215, LOUISVILLE, KY 40205-3340
(502) 721-8288
(502) 721-8792
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
00405
KY
213ES0000X
Sports Medicine Podiatrist
07001237A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00405
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
07001237A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201363630
—
IN
05
—
7100400090
—
KY
Enumeration date
07/01/2013
Last updated
07/15/2016
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