Justin Kent Roulston, D.O.

NPI #1407144728 in Ada, Oklahoma

Provider Information

NPI Number: 1407144728
Entity Type: Individual
Name: Justin Kent Roulston, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: D.O.
Enumeration Date: Jul 20, 2011
Last Updated: Sep 15, 2016

Practice Location

Address: 1921 STONECIPHER BLVD
City: Ada
State: Oklahoma
ZIP Code: 74820
Phone: (580) 421-4570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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