Individual
ZACHARY ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNAP
Contact information
Practice address
2808 S 143RD PLZ, OMAHA, NE 68144-5611
(402) 609-3000
Mailing address
1310 SANTA FE CIR, PAPILLION, NE 68046-3846
(402) 926-9706
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
82464
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
101647
NE
Other
Enumeration date
02/12/2021
Last updated
09/28/2022
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