Individual
JAMES ROAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2910 HAMILTON BLVD, STE 103, SIOUX CITY, IA 51104-2423
(712) 252-1322
Mailing address
2910 HAMILTON BLVD, STE 103, SIOUX CITY, IA 51104-2423
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
23838
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073972
—
WA
01
—
20520
NEBRASKA BLUE SHIELD
NE
05
—
208371
—
IA
05
—
2984768
—
CO
05
—
42-123915400
—
NE
05
—
75985
—
MT
05
—
7775360
—
SD
01
—
A002980
TRICARE
—
05
—
XPY047960
—
CA
Enumeration date
01/22/2006
Last updated
07/08/2007
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