Most Relevant Information
Provider Data
| NPI Number: | 1003812645 |
| Provider Name: | EDWIN ROEDER MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207X00000X |
| Specialty: | Orthopaedic Surgery |
| License Number: | 112519 |
Most Important Dates
| Enumeration Date: | 06/27/2005 |
| Last Updated: | 08/29/2018 |
Provider Practice Location
1210 N KENTUCKY AVE
WEST PLAINS
MO
65775
Practice Location Phone/Fax
| Phone: | 4172561745 |
| Fax: | 4172561745 |
Provider Mailing Location
2828 N NATIONAL AVE
SPRINGFIELD
MO
658034306
Provider Mailing Phone/Fax
| Phone: | 4178374003 |
| Fax: | 4178754782 |
Suggested EMR
Orthopedic EMR