Individual
PAUL BERNARD ROTERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MPH
Contact information
Practice address
3901 RAINBOW BLVD, MS 4010, KANSAS CITY, KS 66160-8500
(913) 588-1908
Mailing address
3901 RAINBOW BLVD, MS 4010, KANSAS CITY, KS 66160-8500
(913) 588-1908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-39260
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2012
Last updated
09/12/2016
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