Individual
RYAN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2865 N REYNOLDS RD BLDG A, TOLEDO, OH 43615-2100
(419) 578-7200
(419) 537-5600
Mailing address
2865 N REYNOLDS RD BLDG A, TOLEDO, OH 43615-2100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50-00-2058
OH
363AM0700X
Medical Physician Assistant
Primary
50.002058RX
OH
Other
Enumeration date
07/06/2005
Last updated
02/25/2026
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