GEORGE J ROTH

FRUITLAND, ID
NPI1073720124
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-97)
Enumeration Date2007-05-17
Last Update Date2012-09-13
Business Address
-- GEORGE J ROTH PA-C
1210 NW 16TH ST
FRUITLAND, ID 83619-2202
Phone number: 208-452-8600
Mailing Address
-- GEORGE J ROTH PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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