JUSTIN T ROACH

IOLA, KS
NPI1851950364
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: KS  53-78756-082)
Enumeration Date2019-06-08
Last Update Date2023-06-13
Business Address
JUSTIN T ROACH APRN, NP-C
2051 N STATE ST
IOLA, KS 66749-1677
Phone number: 620-380-6600
Mailing Address
JUSTIN T ROACH APRN, NP-C
3015 N MICHIGAN ST
PITTSBURG, KS 66762-2546
Phone number: 620-240-5607
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