Individual
DR. H. MICHAEL ROARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9850 GENESEE AVE, SUITE 130, LA JOLLA, CA 92037-1224
(858) 452-1981
Mailing address
4104 PALISADES RD, SAN DIEGO, CA 92116-2043
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A39651
CA
Other
Enumeration date
12/19/2006
Last updated
12/31/2018
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