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Peter G Roan, MD
Interventional Cardiology Physician in Nampa, Idaho
NPI 1326037342

Peter G Roan is a Interventional Cardiology Physician based in Meridian, ID and is specialized in Interventional Cardiology. Peter G Roan practices in Nampa, ID and has the professional credentials of MD. The NPI Number for Peter G Roan is 1326037342 and holds a License No. M6613 (Idaho).

The current practice location address for Peter G Roan is 4424 E Flamingo Ave, Nampa, ID and can be reached out via phone at 208-302-0200 and via fax at 208-302-0255.

Location: 4424 E Flamingo Ave, Nampa, ID, 83642-1026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326037342
Provider Name
Peter G Roan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4424 E Flamingo Ave, Nampa, ID, 83642-1026
Phone Number
208-302-0200
Fax Number
208-302-0255
Provider Enumeration Date
10/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003895300 05 ID
000010149232 01 ID BLUE SHIELD
P00182709 01 ID RAILROAD MEDICARE
B3390 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
4424 E Flamingo Ave
City
Nampa
State
Idaho
Zip
83687-9306
Phone Number
208-302-0200
Fax Number
208-302-0255
person
Provider Business Mailing Address Details
Address
4424 E Flamingo Ave
City
Nampa
State
Idaho
Zip
83687-9306
Phone Number
208-302-0200
Fax Number
208-302-0255
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
M6613 (Idaho)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
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