Individual
DR. JEROME JOSEPH ROCHE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-9033
Mailing address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-9033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50214
AZ
207R00000X
Internal Medicine Physician
Primary
52719
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52719
LICENSE
OH
Enumeration date
07/07/2006
Last updated
04/22/2021
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