Individual
STEPHEN ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 ERWIN RD, SUITE 200 CWING, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
5213 S ALSTON AVE, SUITE 200 CWING, DURHAM, NC 27713-4430
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
280785
NC
Other
Enumeration date
11/05/2015
Last updated
06/15/2021
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