Individual
RODRIGO ROXAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 BROADWAY, BANGOR, ME 04401-1900
(207) 907-3777
(207) 907-3778
Mailing address
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8560
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD21022
ME
207Q00000X
Family Medicine Physician
RL10577
ND
Other
Enumeration date
09/18/2007
Last updated
02/03/2022
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