BRYAN JAMES ROTH

PHOENIX, AZ
NPI1811135817
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: AZ  0686)
Enumeration Date2009-01-29
Last Update Date2012-01-12
Business Address
-- BRYAN JAMES ROTH DPM
2601 E ROOSEVELT AVE
PHOENIX, AZ 85008-4973
Phone number: 602-344-5056
Mailing Address
-- BRYAN JAMES ROTH DPM
5423 W BEVERLY RD
LAVEEN, AZ 85339-2896
Phone number: 602-344-5056