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Individual

ANTHONY JOSEPH ROESCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
10800 MIDLOTHIAN TURNPIKE, SUITE 265, NORTH CHESTERFIELD, VA 23235
(804) 594-1383
(804) 594-0915
Mailing address
10800 MIDLOTHIAN TURNPIKE, SUITE 265, NORTH CHESTERFIELD, VA 23235
(804) 594-2622
(804) 594-0915

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
241076
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
0024179424
VA
367500000X
Certified Registered Nurse Anesthetist
31906
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1861012510
VA
Enumeration date
04/23/2020
Last updated
04/29/2026
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