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Individual
GARY L ROARK
Active
Individual
GARY L ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
252446
MA
207L00000X
Anesthesiology Physician
Primary
D42992
MD
207L00000X
Anesthesiology Physician
M-2261
GU
207LP2900X
Pain Medicine (Anesthesiology) Physician
252446
MA
207LP3000X
Pediatric Anesthesiology Physician
252446
MA
Other
Enumeration date
12/07/2005
Last updated
04/07/2023
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