Individual
BENJAMIN H ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
860 SOUTH COLUMBIA ROAD, GRAND FORKS, ND 58201
(701) 780-5000
(701) 780-6860
Mailing address
PO BOX 6002, GRAND FORKS, ND 58201
(701) 780-5000
(701) 780-6860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14214
ND
207Q00000X
Family Medicine Physician
RL13307
ND
Other
Enumeration date
06/16/2014
Last updated
07/21/2022
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