person
Nathaniel D Roach, PA
Medical Physician Assistant in Fort Wayne, Indiana
NPI 1841421583

Nathaniel D Roach is a Medical Physician Assistant based in Fort Wayne, IN and is specialized in Medical. Nathaniel D Roach practices in Fort Wayne, IN and has the professional credentials of PA. The NPI Number for Nathaniel D Roach is 1841421583 and holds a License No. 10001124A (Indiana).

The current practice location address for Nathaniel D Roach is 5050 N Clinton St, Fort Wayne, IN and can be reached out via phone at 260-484-8551 and via fax at 260-482-5060.

Location: 5050 N Clinton St, Fort Wayne, IN, 46825-5822
person
Provider Profile Details
NPI Number
1841421583
Provider Name
Nathaniel D Roach
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
5050 N Clinton St, Fort Wayne, IN, 46825-5822
Phone Number
260-484-8551
Fax Number
260-482-5060
Provider Enumeration Date
07/29/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300006062 05 IN
institution
Provider Business Practice Location Address Details
Address
5050 N Clinton St
City
State
Zip
46825-5886
Phone Number
260-484-8551
Fax Number
260-482-5060
person
Provider Business Mailing Address Details
Address
5050 N Clinton St
City
State
Zip
46825-5886
Phone Number
260-484-8551
Fax Number
260-482-5060
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
10001124A (Indiana)
Definition
Definition to come...
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