Individual
DR. PATRICIA MAGDALENA ROCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1423 E ROOSEVELT AVENUE, GRANTS, NM 87020-2118
(505) 287-6500
(505) 287-9053
Mailing address
1423 E ROOSEVELT AVE, GRANTS, NM 87020-2245
(505) 287-6500
(505) 287-9053
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A92197
CA
207Q00000X
Family Medicine Physician
Primary
MD2004-0636
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A921970
—
CA
Enumeration date
07/26/2005
Last updated
11/13/2014
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