Rolla Children's Clinic, P.c.

NPI #1780852384 in Rolla, Missouri

Provider Information

NPI Number
1780852384
Entity Type
Organization
Organization Name
Rolla Children's Clinic, P.c.
Primary Specialty
Pediatrics
Enumeration Date
Feb 15, 2008
Last Updated
Feb 15, 2008

Practice Location

Address
1050 W 10TH ST
Address 2
SUITE 480
City
Rolla
ZIP Code
65401-2905
Phone
(573) 364-1900

Authorized Official

Name
MR. ROBERT BRUCE RUSSELL
Title
MANAGER
Phone
(573) 364-1900

Specialties & Taxonomy Codes

Specialty
Pediatrics

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