Roger V. Vardeleon in Saint Louis - Surgery
Roger V. Vardeleon - NPI 1972613826
Roger V. Vardeleon is a Surgery in Saint Louis, Missouri. Roger V. Vardeleon practices all healthcare services and medical treatments related to Surgery. The NPI Number for Roger V. Vardeleon is 1972613826. The last update date is 2012-01-12.
Roger V. Vardeleon's current location address is 327 Conway Lake Dr, Saint Louis, Missouri. You can contact this provider via phone number 3145764042 and fax number 3145764042. The mailing address for Roger V. Vardeleon is 327 Conway Lake Dr, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger V. Vardeleon |
|---|---|
| Address | 327 Conway Lake Dr, Saint Louis, Missouri |
| Phone Number | 3145764042 |
| Fax Number | 3145764042 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1972613826 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2012-01-12 |
Provider Mailing Address Detail
| Address | 327 Conway Lake Dr |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631418114 |
| Phone Number | 3145764042 |
| Fax Number | 3145764042 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | R4094 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200138915 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Roger V. Vardeleon by the Centers for Medicare & Medicaid Services?
The Roger V. Vardeleon has been issued the NPI (National Provider Identifier) 1972613826 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Roger V. Vardeleon is physically located?
The Roger V. Vardeleon is situated at the following address: 327 Conway Lake Dr, Saint Louis, MO 631418114.
What is Roger V. Vardeleon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Roger V. Vardeleon's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date did the Roger V. Vardeleon receive the assignment of its 1972613826 from the Centers for Medicare & Medicaid Services?
The Roger V. Vardeleon was issued its 1972613826 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date was the information pertaining to Roger V. Vardeleon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Roger V. Vardeleon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-01-12.