Individual
DR. ROB ROY ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1043
(253) 403-1357
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1043
(253) 403-1357
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00018956
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76104
LABOR & INDUSTRIES
WA
05
—
8645202
—
WA
Enumeration date
01/31/2007
Last updated
05/27/2008
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