Individual
MR. TERRY L. ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
304 E QUAIL WOOD LN, WESTFIELD, IN 46074-9038
(317) 867-3318
Mailing address
304 E QUAIL WOOD LN, WESTFIELD, IN 46074-9038
(317) 867-3318
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
28182642A
IN
Other
Enumeration date
07/14/2008
Last updated
02/05/2009
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