Gary F Roth, MD
NPI #1992732648 in Bloomington, Illinois
Provider Information
- NPI Number
- 1992732648
- Entity Type
- Individual
- Name
- Gary F Roth, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Emergency Medicine
- Credential
- MD
- Enumeration Date
- Jun 27, 2006
- Last Updated
- Sep 18, 2009
Practice Location
- Address
- 2200 E WASHINGTON ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-4364
- Phone
- (309) 661-5111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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