Organization
STACI L ROSCHE PC
Active
Organization
STACI L ROSCHE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACI L ROSCHE M.D. (PRESIDENT)
(402) 650-5811
Entity
Organization
Contact information
Practice address
13906 GOLD CIR, SUITE 202, OMAHA, NE 68144-2335
(402) 932-6500
(888) 381-0698
Mailing address
13906 GOLD CIR, SUITE 202, OMAHA, NE 68144-2335
(402) 932-6500
(888) 381-0698
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24516
NE
Other
Enumeration date
03/14/2014
Last updated
08/21/2014
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