Individual
EWELL STEVEN ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4634
(614) 722-4633
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4634
(614) 722-4633
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
35088002
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2666815
—
OH
Enumeration date
12/20/2005
Last updated
02/04/2016
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