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Individual

DANIELLE ALEXIS ROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
56 CLUB LN, STE 102, BLAIRSVILLE, PA 15717-7957
(724) 459-5203
(724) 459-0949
Mailing address
520 JEFFERSON AVE, SUITE 400, JEANNETTE, PA 15644-2538
(724) 850-6933
(724) 522-4002

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD451069
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1029887530004
PA
Enumeration date
05/26/2011
Last updated
07/08/2024
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