Individual
VALERI LYNN ROTH
Active
Individual
VALERI LYNN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
OS008320L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019085300008
—
PA
01
—
1389672
BS
PA
Enumeration date
11/29/2005
Last updated
01/11/2017
Update your record
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