Individual
BRYAN JAMES ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2601 E ROOSEVELT AVE, PHOENIX, AZ 85008-4973
(602) 344-5056
(602) 344-5048
Mailing address
5423 W BEVERLY RD, LAVEEN, AZ 85339-2896
(602) 344-5056
(602) 344-5048
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0686
AZ
Other
Enumeration date
01/29/2009
Last updated
01/12/2012
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