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NPI Code Detail

MEDICARE: DAVID T ROTHWELL M D PLLC

MEDICARE: DAVID T ROTHWELL M D PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician21513OK

General Provider Information

NPI Number : 1811005002
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID T ROTHWELL M D PLLC
Provider Business Mailing Address
First Line : 9724 FARMHOUSE LN
Second Line :
City : ARCADIA
State : OK
Zip : 73007-9565
Country : US
Telephone Number : 405-203-3832
Fax Number : 877-463-3813
Provider Business Practice Location Address
First Line : 700 NW 7TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73102-1212
Country : US
Telephone Number : 405-236-3131
Fax Number : 405-239-7180
Authorized Official
Title or Position : PRESIDENT
Name : DR. DAVID T ROTHWELL
Credential : M.D.
Telephone Number : 405-203-3832
Provider Enumeration Date : 08/28/2006
Last Update Date : 06/17/2020

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