MEDICARE: DR. ROBERT R ROEPER D.O.

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
1	207P00000X	Emergency Medicine Physician	7866	MT

Other Identifiers

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

General Provider Information

NPI Number	:	1508810045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT R ROEPER D.O.

Provider Business Mailing Address
First Line	:	PO BOX 1262
Second Line	:
City	:	VICTOR
State	:	MT
Zip	:	59875-1262
Country	:	US
Telephone Number	:	406-642-9094
Fax Number	:

Provider Business Practice Location Address
First Line	:	2827 FORT MISSOULA RD
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59804-7408
Country	:	US
Telephone Number	:	406-327-4171
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	04/26/2011

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