Individual provider · Type 1 NPI
Arthur Thomas Roach, P.A.-C.
Medical Physician Assistant · Horn Lake, MS
NPI number
1619967478
Active
Practice location
3040 Goodman Road, Suite C
Horn Lake, MS 38637-1189
Fax (662) 280-1736
Mailing address
5185 Nail Road
Olive Branch, MS 38654-8245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA-025 (MS) |
Medical Physician Assistant: Definition to come...
About NPI 1619967478
Arthur Thomas Roach, P.A.-C.'s National Provider Identifier is 1619967478, issued on Oct 24, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Horn Lake, MS. The record was last updated on Nov 20, 2009.