NPI 1023034170

Brian Roeder, PAC

Practitioner Surgical Physician Assistant Glen Burnie, MD

Practice location

Address: 301 Hospital Dr Suite 803, Glen Burnie, MD 21061-5803
Phone: (410) 553-8160
Fax: (410) 553-8159

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence C00624 (MD)

Other Physician Assistant providers in Maryland →

Registry record

NPI: 1023034170
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jul 2006
Record last updated: 9 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.