NATHAN LEE ROACH MD
Individual Provider (NPI-1)
Active
Internal Medicine, Hospice and Palliative Medicine
Provider Information
- NPI Number
1396206181- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 190 E BANNOCK ST, BOISE, ID, 837126241
- Phone
- (208) 381-1615
Specialties & Taxonomies
Internal Medicine, Hospice and Palliative Medicine
Primary License: ID #M-17232
Student in an Organized Health Care Education/Training Program
License: IN #11020323A
All Addresses
MAILING
190 E BANNOCK ST
BOISE, ID, 837126241