Individual
MILDRED ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(513) 281-4400
(513) 587-8213
Mailing address
2950 ROBERTSON AVE, 2ND FLOOR, CINCINNATI, OH 45209-1268
(513) 281-4400
(513) 587-8213
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-000953
OH
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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