Individual
MICHELLE ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
20831 N SCOTTSDALE RD, SUITE 102, SCOTTSDALE, AZ 85255-6489
(480) 513-8300
(480) 513-7678
Mailing address
10279 E HILLERY DR, SCOTTSDALE, AZ 85255-8907
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5446
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0242730
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
01/22/2007
Last updated
07/08/2007
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