Individual
DR. ALAN JOHN ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
229 ASH ST, SAINT MARYS, PA 15857-1547
(814) 834-1221
(814) 834-3677
Mailing address
229 ASH ST, SAINT MARYS, PA 15857-1547
(814) 834-1221
(814) 834-3677
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE000620G
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0547309/01
—
PA
Enumeration date
07/08/2005
Last updated
09/23/2011
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