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1013068212
RANDY ROTH
PASCAGOULA, MS
NPI
1013068212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MS MS14779)
Enumeration Date
2007-01-15
Last Update Date
2022-06-29
Business Address
Dr. RANDY ROTH M.D.
2809 DENNY AVE
PASCAGOULA, MS 39581-5301
Phone number: 228-809-5510
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Mailing Address
Dr. RANDY ROTH M.D.
2809 DENNY AVE
PASCAGOULA, MS 39581-5301
Phone number: 228-809-5510
Copy
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