Individual
MR. ANDREW R. ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
157007
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
3205
NC
367500000X
Certified Registered Nurse Anesthetist
NA06830
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2342245
—
OH
05
—
8051449
—
NC
Enumeration date
07/10/2006
Last updated
03/30/2021
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