Individual
DILLON JACK ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 951-2541
(405) 951-2237
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 951-2541
(405) 951-2237
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26891
OK
207P00000X
Emergency Medicine Physician
R1341
KY
Other
Enumeration date
10/15/2007
Last updated
04/05/2017
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