Individual
MR. DARREN J ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8990 WASHINGTON ST, THORNTON, CO 80229-4537
(303) 665-3036
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1106
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0002769
CO
363AM0700X
Medical Physician Assistant
PA.0002769
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12025534
—
CO
Enumeration date
05/21/2008
Last updated
01/18/2022
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