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Organization
G&J ROTH PROF CORP.
Active
Organization
G&J ROTH PROF CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J ROTH D.O. (OWNER/PHYSICIAN)
(559) 299-2128
Entity
Organization
Contact information
Practice address
255 W BULLARD AVE STE 102, CLOVIS, CA 93612-0861
(559) 299-2128
(559) 299-3494
Mailing address
255 W BULLARD AVE STE 102, CLOVIS, CA 93612-0861
(559) 299-2128
(559) 299-3494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
10/05/2010
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