Individual
JUSTIN T ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, NP-C
Contact information
Practice address
204 S MAIN ST, YATES CENTER, KS 66783-1444
(620) 625-2746
(888) 802-7094
Mailing address
3015 N MICHIGAN ST, PITTSBURG, KS 66762-2546
(620) 240-5607
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-78756-082
KS
Other
Enumeration date
06/08/2019
Last updated
02/26/2025
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