SearchIdaho363LF0000X

Mary Roehling

NPI 1437494457 · on the registry since 2012

Practice

Address
2040 E Hologate Ct
Eagle, ID 83616
Phone
(208) 866-6840
Fax
(949) 577-4700

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-06-30

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