Rockwood Family Medicine LLC

NPI #1023280856 in Fenton, Missouri

Provider Information

NPI Number: 1023280856
Entity Type: Organization
Organization Name: Rockwood Family Medicine LLC
Primary Specialty: Family Medicine
Enumeration Date: Apr 1, 2008
Last Updated: Dec 17, 2008

Practice Location

Address: 1747 SMIZER STATION RD
Address 2: SUITE 3B
City: Fenton
State: Missouri
ZIP Code: 63026-2784
Phone: (636) 529-9595

Authorized Official

Name: DR. LARRY LEE OTEHAM, D.O.
Title: OWNER
Phone: (636) 529-9595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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