Organization
ALAN JOHN ROTH, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN JOHN ROTH OD (OWNER)
(814) 834-1221
Entity
Organization
Contact information
Practice address
229 ASH ST, SAINT MARYS, PA 15857-1547
(814) 834-1221
Mailing address
229 ASH ST, SAINT MARYS, PA 15857-1547
(814) 834-1221
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OEG000620
PA
Other
Enumeration date
11/19/2007
Last updated
11/20/2007
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