IndividualActive
Benjamin Roa, PHD
NPI 1679145528 · Clinical Molecular Genetics Physician · Salt Lake City, UT
Provider details
- NPI number
- 1679145528
- Entity type
- Individual
- Primary specialty
- Clinical Molecular Genetics PhysicianAllopathic & Osteopathic Physicians
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- ROAXB1 (NY)
Mailing address
322 N 2200 W
Salt Lake City, UT 84116-2922
Registry dates
- Enumerated
- 2021-07-12
- Last updated
- 2025-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.