Jonathan B Roth LLC

NPI #1871891853 in Edmond, Oklahoma

Provider Information

NPI Number: 1871891853
Entity Type: Organization
Organization Name: Jonathan B Roth LLC
Primary Specialty: Pediatrics
Enumeration Date: Mar 1, 2011
Last Updated: Mar 1, 2011

Practice Location

Address: 2000 E 15TH ST
Address 2: 150A
City: Edmond
State: Oklahoma
ZIP Code: 73013-6697
Phone: (405) 348-6500

Authorized Official

Name: JONATHAN B ROTH, MD
Title: MD
Phone: (405) 348-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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