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James C Roelke, PA
Medical Physician Assistant in Mountain Home, Arkansas
NPI 1447215066

James C Roelke is a Medical Physician Assistant based in Mountain Home, AR and is specialized in Medical. James C Roelke practices in Mountain Home, AR and has the professional credentials of PA. The NPI Number for James C Roelke is 1447215066 and holds a License No. (Arkansas).

The current practice location address for James C Roelke is 628 Hospital Dr, Mountain Home, AR and can be reached out via phone at 870-425-4402 and via fax at 870-424-3089.

Location: 628 Hospital Dr, Mountain Home, AR, 72653-2953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447215066
Provider Name
James C Roelke
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
628 Hospital Dr, Mountain Home, AR, 72653-2953
Phone Number
870-425-4402
Fax Number
870-424-3089
Provider Enumeration Date
04/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA-136 01 AR LICENSE
institution
Provider Business Practice Location Address Details
Address
628 Hospital Dr
City
Mountain Home
State
Arkansas
Zip
72653-2953
Phone Number
870-425-4402
Fax Number
870-424-3089
person
Provider Business Mailing Address Details
Address
628 Hospital Dr
City
Mountain Home
State
Arkansas
Zip
72653-2953
Phone Number
870-425-4402
Fax Number
870-424-3089
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
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Definition
Definition to come...
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