DR. Roger John Charboneau, D.O.

NPI #1609862689 in Ada, Oklahoma

Provider Information

NPI Number
1609862689
Entity Type
Individual
Name
DR. Roger John Charboneau, D.O.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Orthopaedic Surgery - Sports Medicine
Credential
D.O.
Enumeration Date
Sep 23, 2005
Last Updated
Aug 10, 2016

Practice Location

Address
1921 STONECIPHER DR
City
Ada
ZIP Code
74820-3439
Phone
(580) 559-0510

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery - Sports MedicineSports Medicine

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