Individual
MR. DANNY JOE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, APN
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5998
(907) 388-6852
Mailing address
2460 TOPEKA DRIVE, NORTH POLE, AK 99705-2460
(423) 315-6338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
12213
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
384
AK
Other
Enumeration date
10/19/2006
Last updated
09/20/2023
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