Individual
DR. JONATHAN C ROUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 DUKE MEDICINE CIR, DURHAM, NC 27710-4000
(919) 684-8111
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2011-00235
NC
208800000X
Urology Physician
236691
MA
208800000X
Urology Physician
45839
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493923900
—
MN
Enumeration date
12/28/2005
Last updated
05/08/2012
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