Individual
DR. JOHN MICHAEL ROACH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 S AUBURN, KENNEWICK, WA 99336
(509) 586-9187
(509) 586-7092
Mailing address
811 S AUBURN, KENNEWICK, WA 99336
(509) 586-9187
(509) 586-7092
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
025209MD00014731
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063429
—
WA
Enumeration date
11/23/2005
Last updated
07/08/2007
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