Individual
ZACHARY GENE ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Mailing address
114 CABANEL, MAUMELLE, AR 72113
(501) 454-0520
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-6729
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440309401
—
AR
Enumeration date
03/31/2009
Last updated
07/19/2011
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