Individual
DR. JEFFREY BRUCE ROTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4465 ABBEY LN, SANTA ROSA, CA 95401-5617
(760) 500-1566
Mailing address
4465 ABBEY LANE, SANTA ROSA, CA 95401
(760) 500-1566
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G32093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G320930
—
CA
Enumeration date
03/16/2006
Last updated
01/11/2022
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