SearchIdaho175F00000X

Mario Roxas, N.D

NPI 1083949531 · on the registry since 2009 · sole proprietor

Practice

Address
476864 Highway 95
Suite #3
Ponderay, ID 83852
Phone
(208) 946-0984
Fax
(208) 246-4995

Registry record

Primary taxonomy
175F00000X
175F00000X
Also registered as
175F00000X
Licence states on file
OR, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho