National Provider Identifier
Roan Jamison Glocker, MD
Roan Jamison Glocker, MD is listed in the NPPES registry with a primary specialty of Vascular Surgery Physician in Rochester, NY and a listed phone number of (585) 341-9541.
Profile Overview
- NPI
- 1164623849
- Provider Type
- Individual
- Primary Specialty
- Vascular Surgery Physician
- Enumeration Date
- May 30, 2007
- Last Updated
- April 28, 2023
Practice Location
- 990 South Ave
- Ste 210
- Rochester, NY 14620-2763
Phone: (585) 341-9541
Mailing Address
- 601 Elmwood Ave
- Box 652
- Rochester, NY 14642-0001
Specialties
- Vascular Surgery Physician (2086S0129X)
Full Record
- NPI
- 1164623849
- Entity Type
- Individual
- Last Name
- Glocker
- First Name
- Roan
- Middle Name
- Jamison
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box 652
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 341-9541
- Mailing Fax
- (585) 341-9550
- Practice Street Address
- 990 South Ave
- Practice Address Line 2
- Ste 210
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2763
- Practice Country
- US
- Practice Phone
- (585) 341-9541
- Practice Fax
- (585) 341-9550
- Enumeration Date
- May 30, 2007
- Last Updated
- April 28, 2023
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Vascular Surgery Physician (2086S0129X)
- Other Identifiers
- 03921208 (NY)