Individual
LOGAN JAMES ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395-2635
(623) 882-1500
Mailing address
1800 E VAN BUREN ST, PHOENIX, AZ 85006-3742
(800) 402-0881
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
325242
AZ
Other
Enumeration date
05/08/2025
Last updated
06/26/2025
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