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1073773735
RUSSELL B ROTH MD PLLC
MUSKOGEE, OK
NPI
1073773735
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Entity Type
Organization
Authorized Contact
RUSSELL B ROTH
Owner
918-687-5477
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2008-06-16
Last Update Date
2011-03-25
Business Address
RUSSELL B ROTH MD PLLC
3401 W BROADWAY ST
MUSKOGEE, OK 74401-2136
Phone number: 918-687-5477
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Mailing Address
RUSSELL B ROTH MD PLLC
3401 W BROADWAY ST
MUSKOGEE, OK 74401-2136
Phone number: 918-687-5477
Copy
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