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NPI Code Detail

MEDICARE: MRS. DORINDA H. ROUCH MD

MEDICARE: MRS. DORINDA H. ROUCH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician01021250IN
2207RH0003XHematology & Oncology PhysicianDR.0058212CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750381513
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DORINDA H. ROUCH MD
Provider Business Mailing Address
First Line : PO BOX 10100
Second Line :
City : DELTA
State : CO
Zip : 81416-0008
Country : US
Telephone Number : 970-874-7681
Fax Number : 970-874-2475
Provider Business Practice Location Address
First Line : 1501 E 3RD ST
Second Line :
City : DELTA
State : CO
Zip : 81416-2815
Country : US
Telephone Number : 970-399-2895
Fax Number : 317-415-6666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 07/21/2022

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