Male or Other

James C. Roelke P.A.

Medical Physician Assistant in Mountain Home, AR(View on Map)

Full Name

James C Roelke P.A.

NPI Number

1447215066

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/18/2006

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

628 HOSPITAL DR
628 HOSPITAL DR

City

Mountain Home
Mountain Home

State

AR
AR

Postal Code

72653-2953
72653-2953

Country

US
US

Telephone Number

(870) 425-4402
(870) 425-4402

Identifiers

Identifier

PA-136

Identifier State

AR

Identifier Issuer

LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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