Individual
DR. JOSE M. ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 S MAIN ST, SUITE 215, ORANGE, CA 92868-3851
(714) 937-9400
(714) 937-9404
Mailing address
230 S MAIN ST, SUITE 215, ORANGE, CA 92868-3851
(714) 937-9400
(714) 937-9404
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G71898
CA
Other
Enumeration date
06/09/2006
Last updated
12/18/2013
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