DR. Ronald Carl Roth, MD

NPI #1043254907 in South Lake Tahoe, California

Provider Information

NPI Number: 1043254907
Entity Type: Individual
Name: DR. Ronald Carl Roth, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: MD
Enumeration Date: Jun 15, 2006
Last Updated: Jul 16, 2014

Practice Location

Address: 2169 SOUTH AVE
City: South Lake Tahoe
State: California
ZIP Code: 95150-7059
Phone: (530) 543-5815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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