Individual
DR. JOHN J ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2616 24TH AVE E, SEATTLE, WA 98112-2002
(206) 324-5271
Mailing address
2616 24TH AVE E, SEATTLE, WA 98112-2002
(206) 324-5271
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10220
WA
208600000X
Surgery Physician
23424
NC
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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