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Individual

GERALD JAMES ROTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
952 21ST AVE E, SEATTLE, WA 98112-3511
(206) 764-2475
(206) 764-2689
Mailing address
952 21ST AVE E, SEATTLE, WA 98112-3511
(206) 324-1360

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
MD00010405
WA

Other

Enumeration date
05/21/2007
Last updated
07/08/2007
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