Individual
CHAD WILLIAM LAROCHE
Active
Individual
CHAD WILLIAM LAROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.0004515
CO
363AS0400X
Surgical Physician Assistant
TC037
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA1221
LICENSE
KY
Enumeration date
09/17/2009
Last updated
06/08/2021
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