Individual
DR. MARIO E ROXAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
476864 HIGHWAY 95, SUITE #3, PONDERAY, ID 83852-5000
(208) 946-0984
(208) 246-4995
Mailing address
1501 PONDEROSA DR, SANDPOINT, ID 83864-8280
(208) 946-0984
(208) 246-4995
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
0982
OR
175F00000X
Naturopath
NT00001638
WA
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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