Individual
DR. BRADLEY PAUL ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 E WEBSTER AVE, CHEWELAH, WA 99109-9523
(509) 935-8211
Mailing address
500 E WEBSTER AVE, CHEWELAH, WA 99109-9523
(509) 935-8211
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.MD.61457059
WA
208M00000X
Hospitalist Physician
MD.MD.61457059
WA
Other
Enumeration date
04/08/2020
Last updated
09/05/2024
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