Individual
JOHN C. ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1746 COLE BLVD, STE 150, LAKEWOOD, CO 80401-3208
(303) 914-8800
(303) 716-3777
Mailing address
1746 COLE BLVD, STE 150, LAKEWOOD, CO 80401-3208
(303) 914-8800
(303) 716-3777
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
29415
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01294156
—
CO
Enumeration date
08/13/2006
Last updated
11/06/2014
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