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1811135817
BRYAN JAMES ROTH
PHOENIX, AZ
NPI
1811135817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: AZ 0686)
Enumeration Date
2009-01-29
Last Update Date
2012-01-12
Business Address
-- BRYAN JAMES ROTH DPM
2601 E ROOSEVELT AVE
PHOENIX, AZ 85008-4973
Phone number: 602-344-5056
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Mailing Address
-- BRYAN JAMES ROTH DPM
5423 W BEVERLY RD
LAVEEN, AZ 85339-2896
Phone number: 602-344-5056
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