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NPI Code Detail

MEDICARE: DR. DAVID T ROTHWELL MD

MEDICARE: DR. DAVID T ROTHWELL MD
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

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00276395OTHEROKRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417929308
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID T ROTHWELL MD
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 07/18/2025

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Directions to “ DR. DAVID T ROTHWELL MD” Practice Location

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