NPI 1255357091

Randall D Roush, MD

Practitioner Orthopaedic Surgery Physician Bridgeton, MO

Practice location

Address: 12266 Depaul Dr 110, Bridgeton, MO 63044-2514
Phone: (314) 291-7900
Fax: (314) 291-7914
Mailing address: 1805 Summer Blossom Pl, Chesterfield, MO 63017-5672

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence R9C72 (MO)

Other Orthopaedic Surgery providers in Missouri →

Registry record

NPI: 1255357091
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jul 2006
Record last updated: 3 Mar 2011

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.