Individual
REX DANIEL ROACH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6554 LUBARRETT WAY, MOBILE, AL 36695-3825
(251) 533-3221
Mailing address
6554 LUBARRETT WAY, MOBILE, AL 36695-3825
(251) 533-3221
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
21974
AL
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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