Whalio Doctors

NPI 1003832619

Roger Stuart Bothwell, MD

Practitioner Surgery Physician Roseburg, OR

Practice location

Address
913 NW Garden Valley Blvd, Roseburg, OR 97470-6523
Phone
(541) 440-1000
Mailing address
2805 NW Kline St, Roseburg, OR 97470-5552

Registered specialties

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD07336 (OR)

Registry record

NPI
1003832619
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Jul 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.