Provider Demographics
NPI:1366655656
Name:GARCIA, ROGER (DO)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:6699 LAKE TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-7700
Mailing Address - Country:US
Mailing Address - Phone:614-402-5687
Mailing Address - Fax:614-939-5053
Practice Address - Street 1:4889 SINCLAIR RD STE 112
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-5433
Practice Address - Country:US
Practice Address - Phone:614-537-5542
Practice Address - Fax:614-505-6258
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34.003736207PH0002X, 207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No207PH0002XAllopathic & Osteopathic PhysiciansEmergency MedicineHospice and Palliative Medicine