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Cynthia Cecilia Roque, M.D.

Pediatrics in Fort Defiance, AZ. Individual provider (NPI-1).

NPI number1609050293
StatusActive
Last updated in NPPESAug 14, 2026

Details

NPI
1609050293
Entity type
Individual (NPI-1)
Name
Ms. Cynthia Cecilia Roque
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Dec 19, 2007
Certification date
Aug 14, 2026
Last updated
Aug 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X PediatricsME134151FLYes

Practice location

Corner Of Route N12 And N7
Fort Defiance, AZ 86504-0649

Phone 928-729-8000

Mailing address

Po Box 649
Fort Defiance, AZ 86504-0649

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