Roger L Roark, MD PA

NPI #1023324027 in Statesville, North Carolina

Provider Information

NPI Number: 1023324027
Entity Type: Organization
Organization Name: Roger L Roark, MD PA
Primary Specialty: Surgery
Enumeration Date: Aug 27, 2010
Last Updated: Aug 27, 2010

Practice Location

Address: 555 KITCHINGS DR STE C
City: Statesville
State: North Carolina
ZIP Code: 28677-3576
Phone: (704) 873-2516

Authorized Official

Name: ROGER LEE ROARK, MD
Title: OWNER
Phone: (704) 873-2516

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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