Organization
HEAD TO TOE HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY S ROTH FNP (NURSE PRACTITIONER)
(623) 640-4792
Entity
Organization
Contact information
Practice address
16196 W GIBSON LN, GOODYEAR, AZ 85338-3448
(623) 640-4792
Mailing address
PO BOX 7744, GOODYEAR, AZ 85338-0646
(623) 640-4792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
12/27/2022
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