Dr. Roan Jamison Glocker
Vascular Surgeon
990 South Ave Ste 210
Rochester
, New York 14620-2763
Dr. Roan Jamison Glocker
Vascular Surgeon
990 South Ave Ste 210
Rochester
, New York 14620-2763
(585) 341-9550
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Roan Jamison Glocker
- 601 Elmwood Ave Box 652
- Rochester, NY
- Zip : 14642-0001
- Fax : (585) 341-9550
- Phone : (585) 341-9541
Second Address
- Dr. Roan Jamison Glocker
- 990 South Ave Ste 210
- Rochester, NY
- Zip : 14620-2763
- Fax : (585) 341-9550
- Phone : (585) 341-9541
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 274719 | NY |
National Provider Identifier
| NPI | 1164623849 |
|---|---|
| Provider Name | Dr. Roan Jamison Glocker |
| First Address | Rochester, NY 14642-0001 |
| Second Address | Rochester, NY 14620-2763 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/05/2007 |
| Last Update Date | 09/11/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03921208 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.