Individual
DR. JAMES T ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1219 SW 4TH AVE UNIT 2, ONTARIO, OR 97914-4500
(801) 261-3975
(801) 262-9142
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9598
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
263690-1205
UT
Other
Enumeration date
03/16/2006
Last updated
04/21/2020
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