Individual
BETH ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3240 S WOODRUFF AVE, IDAHO FALLS, ID 83404-8305
(208) 974-5200
Mailing address
3240 S WOODRUFF AVE, IDAHO FALLS, ID 83404-8305
(208) 974-5200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
ID
Other
Enumeration date
07/01/2026
Last updated
07/28/2026
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