Individual
DR. JAMES B ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2755 HERNDON AVE, CLOVIS, CA 93611-6800
(559) 935-5491
(559) 935-5719
Mailing address
9722 E SIERRA AVE, CLOVIS, CA 93619-9013
(559) 935-5491
(559) 935-5719
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20A4011
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX40110
—
CA
01
—
010000314
RAILROAD MEDICARE
CA
01
—
349152400
USDL
CA
Enumeration date
08/21/2006
Last updated
02/04/2020
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