Most Relevant Information
Provider Data
| NPI Number: | 1003832619 |
| Provider Name: | ROGER STUART BOTHWELL M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208600000X |
| Specialty: | Surgery |
| License Number: | MD07336 |
Most Important Dates
| Enumeration Date: | 07/15/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
913 NW GARDEN VALLEY BLVD
ROSEBURG
OR
974706523
Practice Location Phone/Fax
| Phone: | 5414401000 |
| Fax: |
Provider Mailing Location
2805 NW KLINE ST
ROSEBURG
OR
974705552
Provider Mailing Phone/Fax
| Phone: | 5416804145 |
| Fax: |
Suggested EMR
Surgeon EMR