Individual provider · Type 1 NPI

Brian Roeder, P.A.-C

Surgical Physician Assistant · Glen Burnie, MD

NPI number 1023034170 Active

Practice location

301 Hospital Dr, Suite 803
Glen Burnie, MD 21061-5803

Fax (410) 553-8159

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XC00624 (MD)

Surgical Physician Assistant: Definition to come...

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About NPI 1023034170

Brian Roeder, P.A.-C's National Provider Identifier is 1023034170, issued on Jul 14, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Glen Burnie, MD. The record was last updated on Nov 9, 2015.