Individual
ROGER R LAROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 RAYMOND AVE, SAINT PAUL, MN 55114-1522
(651) 447-3755
(651) 444-8923
Mailing address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(814) 368-3123
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
32177
MN
2084P0800X
Psychiatry Physician
MD046764L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012987900001
—
PA
Enumeration date
05/18/2006
Last updated
12/14/2022
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