TERRY R ROACH

PUEBLO, CO
NPI1659444685
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CO  92846)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: CO  92845)
Enumeration Date2006-11-16
Last Update Date2007-07-08
Business Address
Mr. TERRY R ROACH CRNA
1218 N MAIN ST
PUEBLO, CO 81003-2828
Phone number: 719-543-7877
Mailing Address
Mr. TERRY R ROACH CRNA
1218 N MAIN ST
PUEBLO, CO 81003-2828
Phone number: 719-543-7877