# ELISEO M. ROQUIZ MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Millcreek Anesthesia Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700820909
- **Authorized official:** DR. ELISEO M. ROQUIZ M.D. (ANESTHESIOLOGIST)
- **Authorized official phone:** (814) 454-8885

## Contact information

- **Practice address:** 5515 PEACH ST, ERIE, PA 16509-2603
- **Practice address phone:** (814) 454-8885
- **Practice address fax:** (814) 456-3856
- **Mailing address:** PO BOX 1149, ERIE, PA 16512-1149
- **Mailing address phone:** (814) 454-8885
- **Mailing address fax:** (814) 456-3856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD022695E | PA | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 10/30/2008