Individual
GIDEON M ROQUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5205 COVENTRY DR, ERIE, PA 16506-6107
(814) 835-2362
(814) 835-2362
Mailing address
5205 COVENTRY DR, ERIE, PA 16506-6107
(814) 835-2362
(814) 835-2362
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
18457
MD
Other
Enumeration date
02/08/2007
Last updated
05/01/2008
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