MR. Michael M Roham, PA.
NPI #1043516404 in San Clemente, California
Provider Information
- NPI Number
- 1043516404
- Entity Type
- Individual
- Name
- MR. Michael M Roham, PA.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA.
- Enumeration Date
- Feb 2, 2011
- Last Updated
- May 5, 2020
Practice Location
- Address
- 302 N EL CAMINO REAL STE 112
- City
- San Clemente
- State
- California
- ZIP Code
- 92672-4776
- Phone
- (949) 489-9898
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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