Organization
JAMES M. ROACH M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MADISON ROACH M.D. (OWNER)
(760) 353-3190
Entity
Organization
Contact information
Practice address
1600 S. IMPERIAL AVENUE #6, EL CENTRO, CA 92243
(760) 353-3190
Mailing address
1600 S. IMPERIAL AVENUE #6, EL CENTRO, CA 92243
(760) 353-3190
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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