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Nathan Roach, MD — NPI 1396206181, Boise, ID | NPI Central

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NPI 1396206181

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Nathan Roach, MD

NPI 1396206181 · Hospice and Palliative Medicine (Internal Medicine) Physician · Boise, ID

Provider details

NPI number: 1396206181
Entity type: Individual
Primary specialty: Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: M-17232 (ID)

Specialties & taxonomies

Hospice and Palliative Medicine (Internal Medicine) PhysicianPrimary207RH0002XLicense M-17232 (ID)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000XLicense 11020323A (IN)
Student, Health Care

Practice location

190 E Bannock St

Boise, ID 83712-6241

Phone: (208) 381-1615

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

190 E Bannock St

Boise, ID 83712-6241

Additional practice locations (1)

10122 E 10th St Ste 100
Indianapolis, IN 46229-2697
Phone: (317) 355-5717

Registry dates

Enumerated: 2019-03-26
Last updated: 2023-07-03
Certified: 2023-07-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.