Individual
DR. TRACY YOUNG ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1601 CENTER ST, STE 3S, MOBILE, AL 36604-1512
(251) 415-1496
(251) 415-1450
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 415-1496
(251) 415-1450
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
14783
MS
207V00000X
Obstetrics & Gynecology Physician
Primary
19526
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009912195
—
AL
05
—
0116740
—
MS
Enumeration date
10/11/2012
Last updated
02/20/2017
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