Provider Demographics
NPI:1679385587
Name:ROSCA, RICHARD (DACM)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:ROSCA
Suffix:
Gender:M
Credentials:DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5936 JACKSON RANCH RD
Mailing Address - Street 2:
Mailing Address - City:WEED
Mailing Address - State:CA
Mailing Address - Zip Code:96094-9608
Mailing Address - Country:US
Mailing Address - Phone:415-920-3285
Mailing Address - Fax:
Practice Address - Street 1:630 N 4TH AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-8449
Practice Address - Country:US
Practice Address - Phone:520-907-4333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-012221171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist