Individual
JEFFREY JOSEPH ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6140 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-6737
(702) 450-0777
(702) 459-7701
Mailing address
6140 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-6737
(702) 450-0777
(702) 459-7701
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
7663
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503381
—
NV
Enumeration date
07/28/2005
Last updated
01/05/2022
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