# PHILIP A. ROTH, JR., MD/PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144538513
- **Authorized official:** PHILIP A. ROTH JR. M.D. (PRESIDENT)
- **Authorized official phone:** (256) 533-3966

## Contact information

- **Practice address:** 2089 CECIL ASHBURN DR SE, SUITE 101, HUNTSVILLE, AL 35802-2567
- **Practice address phone:** (256) 533-3966
- **Practice address fax:** (256) 533-9652
- **Mailing address:** 420 LOWELL DR SE, SUITE 103, HUNTSVILLE, AL 35801-3754
- **Mailing address phone:** (256) 535-5940
- **Mailing address fax:** (256) 535-5954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 12141 | AL | Yes |

## Other

- **Enumeration date:** 09/20/2010
- **Last updated:** 09/20/2010