Individual
DOUGLAS LEE ROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
275 W MACARTHUR BLVD, OAKLAND, CA 94611-5641
(510) 752-1000
(510) 752-6674
Mailing address
275 W MACARTHUR BLVD, OAKLAND, CA 94611-5641
(510) 752-1000
(510) 752-6674
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
16016
CA
Other
Enumeration date
01/30/2007
Last updated
01/03/2022
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