Individual
DR. DOUGLAS WAYNE ROTHROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
242 WHIPPLE ST, PRESCOTT, AZ 86301-1787
(928) 708-9355
Mailing address
242 WHIPPLE ST STE 1, PRESCOTT, AZ 86301-1789
(928) 708-9355
(928) 778-0278
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26235
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
438780
—
AZ
Enumeration date
06/07/2006
Last updated
04/01/2020
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