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1255357091
RANDALL D ROUSH
BRIDGETON, MO
NPI
1255357091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MO R9C72)
Enumeration Date
2006-07-14
Last Update Date
2011-03-03
Business Address
-- RANDALL D ROUSH MD
12266 DEPAUL DR 110
BRIDGETON, MO 63044-2514
Phone number: 314-291-7900
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Mailing Address
-- RANDALL D ROUSH MD
1805 SUMMER BLOSSOM PL
CHESTERFIELD, MO 63017-5672
Phone number:
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