Individual
RYAN ROBERT ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2499
(808) 691-1000
Mailing address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2499
(808) 691-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
65430-20
WI
207R00000X
Internal Medicine Physician
Primary
MD-19136
HI
Other
Enumeration date
04/09/2014
Last updated
06/09/2021
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