Individual
DR. CARLOS BARRETT ROCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 CRESTWOOD CIR STE P, MENA, AR 71953-5512
(479) 394-2534
(479) 394-7012
Mailing address
400 CRESTWOOD CIR STE P, MENA, AR 71953-5512
(479) 394-2534
(479) 394-7012
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E2878
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143840001
—
AR
01
—
5L863
BLUE CROSS BLUE SHIELD
AR
Enumeration date
02/08/2007
Last updated
02/05/2013
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