Individual
RONALD MATTHEW ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PO BOX 1535, PAROWAN, UT 84761-1535
(702) 218-5374
Mailing address
PO BOX 1535, PAROWAN, UT 84761-1535
(702) 218-5374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5162
NV
207RC0000X
Cardiovascular Disease Physician
Primary
275830I205
UT
207RC0000X
Cardiovascular Disease Physician
5162
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002517
—
NV
Enumeration date
06/07/2006
Last updated
08/29/2025
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