Search › Missouri › 106S00000X
Roosevelt Dismukes
NPI 1225525744 · on the registry since 2018
Practice
- Address
- 500 Highway 61 N J
Hayti, MO 63851 - Phone
- (573) 359-2600
- Fax
- (573) 359-1103
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-04-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri