Individual
DR. PATRICK JEREMY ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-4401
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-4401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD61158049
WA
2085R0202X
Diagnostic Radiology Physician
ME151547
FL
2085R0202X
Diagnostic Radiology Physician
TRN23059
FL
Other
Enumeration date
03/30/2015
Last updated
09/04/2024
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