Individual
CHRISTINE D ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1215 S 1680 W, OREM, UT 84058-4939
(801) 356-5555
(801) 224-6010
Mailing address
1215 S 1680 W, OREM, UT 84058-4939
(801) 356-5555
(801) 224-6010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8046093-1206
UT
Other
Enumeration date
02/11/2012
Last updated
11/04/2013
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