Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROGER JOHN CHARBONEAU, D.O.
Active Sole ProprietorDR. ROGER JOHN CHARBONEAU, D.O. is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in ADA, Oklahoma. NPI 1609862689 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · ADA, OK
Registration Details
- NPI Number
- 1609862689
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 23, 2005 (20.881051440139 yrs)
- Last Updated
- Aug 10, 2016
- License
-
4037 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1921 STONECIPHER DRADA, OK, 748203439Browse OK providers · Browse ZIP 74820
- Phone
- 5805590510
- Fax
- 5802722715
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.