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NPI Code Detail

MEDICARE: DR. JAMES P ROUGLE DO

MEDICARE: DR. JAMES P ROUGLE DO
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
12084P0800XPsychiatry Physician11293MT
22084P0800XPsychiatry PhysicianPT 12913ND

General Provider Information

NPI Number : 1881778181
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES P ROUGLE DO
Provider Business Mailing Address
First Line : 105 CHRISTOPHER CT
Second Line :
City : KALISPELL
State : MT
Zip : 59901-7581
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 105 CHRISTOPHER CT
Second Line :
City : KALISPELL
State : MT
Zip : 59901-7581
Country : US
Telephone Number : 406-755-6670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 08/22/2013

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Directions to “ DR. JAMES P ROUGLE DO” Practice Location

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