Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rolla Children's Clinic, PC

Organization Pediatrics Physician · NPI 1780852384

Rolla Children's Clinic, PC is a Pediatrics Physician in Rolla, Missouri. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1050 W 10th St Ste 480
Rolla, MO 65401-2905
Phone: (573) 364-1900
Fax: (573) 364-7365
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1780852384
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Russell — Manager · (573) 364-1900
NPI enumeratedFebruary 15, 2008
Last updated in NPPESFebruary 15, 2008
Mailing address1050 W 10th St, Suite 480, Rolla, MO 65401-2905

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