Individual
RICHARD J. ROCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Mailing address
262 DANNY THOMAS PL, MS 515, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
141
TN
363AM0700X
Medical Physician Assistant
141
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03182241
—
MS
Enumeration date
05/05/2006
Last updated
02/12/2024
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