PARKER ROUSTIO

O FALLON, IL
NPI1841976842
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.034489)
Enumeration Date2023-06-23
Last Update Date2025-04-09
Business Address
Dr. PARKER ROUSTIO DMD
1002 E WESLEY DR STE 200
O FALLON, IL 62269-6143
Phone number: 618-628-7080
Mailing Address
Dr. PARKER ROUSTIO DMD
8422 BRAESWOOD ESTATES DR
O FALLON, IL 62269-4247
Phone number: