Individual
JOSHUA PAUL ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-5000
Mailing address
421 HADLEY AVE, OAKWOOD, OH 45419-2613
(360) 739-7292
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036153022
IL
207P00000X
Emergency Medicine Physician
34.012998
OH
Other
Enumeration date
04/19/2016
Last updated
09/11/2023
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