Healthcare Provider Details
I. General information
NPI: 1851352140
Provider Name (Legal Business Name): ROCKHILL ORTHOPAEDICS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/28/2006
Last Update Date: 11/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
120 NE SAINT LUKES BLVD STE 200
LEES SUMMIT MO
64086-6011
US
IV. Provider business mailing address
120 NE SAINT LUKES BLVD STE 200
LEES SUMMIT MO
64086-6011
US
V. Phone/Fax
- Phone: 816-246-4302
- Fax: 816-246-8910
- Phone: 816-246-4302
- Fax: 816-246-8910
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GERALD
FRANCIS
DUGAN
Title or Position: CEO
Credential: M.D.
Phone: 816-246-4302