Organization
JAMES T. ROTH, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES T. ROTH M.D. (OWNER)
(801) 261-3605
Entity
Organization
Contact information
Practice address
3970 S 700 E, SUITE 14, SALT LAKE CITY, UT 84107-2191
(801) 261-3605
(801) 262-9142
Mailing address
3970 S 700 E, SUITE 14, SALT LAKE CITY, UT 84107-2191
(801) 261-3605
(801) 262-9142
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2636901205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068442288017
—
UT
Enumeration date
04/06/2009
Last updated
10/26/2020
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