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Individual
DR. JOHN GALLOWAY ROTH
Active
Individual
DR. JOHN GALLOWAY ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00679
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
00679
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104879
EMPLOYEES HEALTH PLAN
MD
01
—
213549
MAMSI/ALLIANCE
MD
01
—
27-00297-SC
UNITEDHEALTHCARE MID-ATL
MD
01
—
27-00382-EC
UNITEDHEALTHCARE MID ATL
MD
01
—
31463
UNITEDHEALTHCARE
MD
05
—
408078500
—
MD
01
—
4309156
AETNA
MD
01
—
521605554
TRICARE
MD
01
—
64726770001
MCNSC
MD
01
—
701034P
CIGNA
MD
01
—
77530002
BC FEDERAL/NAT'L CAPITOL
MD
01
—
T210
PALMETTO GBA RAILROAD MC
MD
01
—
T210-JG-48
CAREFIRST BCBS OF MD
MD
Enumeration date
06/16/2006
Last updated
01/24/2023
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