Individual
MR. SAMUEL KLEIN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
105 SW CARY PKWY, SUITE 300, CARY, NC 27511-5600
(919) 467-3203
(919) 459-5401
Mailing address
105 SW CARY PKWY, SUITE 300, CARY, NC 27511-5600
(919) 467-3203
(919) 459-5401
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
101361
NC
Other
Enumeration date
06/08/2006
Last updated
10/13/2010
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