Bailey R Roth

NPI #1952767782 in Bradley, Illinois

Provider Information

NPI Number: 1952767782
Entity Type: Individual
Name: Bailey R Roth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 8, 2016
Last Updated: Jan 8, 2016

Practice Location

Address: 380 N VAN BUREN AVE
City: Bradley
State: Illinois
ZIP Code: 60915-1486
Phone: (815) 953-1019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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