Individual
DR. ELIZABETH L ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
(317) 338-7510
Mailing address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01059583A
IN
207R00000X
Internal Medicine Physician
01059583A
IN
Other
Enumeration date
05/25/2007
Last updated
08/11/2022
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