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1104895705
JAMES T ROTH
ONTARIO, OR
NPI
1104895705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: UT 263690-1205)
Enumeration Date
2006-03-16
Last Update Date
2020-04-21
Business Address
Dr. JAMES T ROTH M.D.
1219 SW 4TH AVE UNIT 2
ONTARIO, OR 97914-4500
Phone number: 801-261-3975
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Mailing Address
Dr. JAMES T ROTH M.D.
1441 NE 10TH AVE
PAYETTE, ID 83661-5420
Phone number: 208-642-9376
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