Earl Eugene Roth JR., MD

NPI #1124098579 in Glendale, Arizona

Provider Information

NPI Number: 1124098579
Entity Type: Individual
Name: Earl Eugene Roth JR., MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Jan 26, 2006
Last Updated: Oct 11, 2007

Practice Location

Address: 5891 W EUGIE AVE
City: Glendale
State: Arizona
ZIP Code: 85304-1252
Phone: (602) 588-6703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary
General Practice	208D00000X
Emergency Medicine	207P00000X

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