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Stacie S Roeder

  • Female

Medical Specialty

Professional ID

  • NPI: 1104206093
  • PECOS ID: 9638484777
  • Enrollment ID: I20150818005017
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2000

Medical Practices

  • Organization Name: Coarsegold Physical Therapy, Incorporated
  • Group Practice ID assigned by PECOS: 6103915178
  • Number of Group Practice member: 3

Location

  • Address1: 35324 Hwy 41 D
  • Address2:
  • City: Coarsegold
  • State: California
  • Zip Code: 93614
  • Phone Number: (559)641-5445

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):