Earl Eugene Roth Jr., MD

Pediatrics Physician · Glendale, AZ

Individual Active NPI

NPI number 1124098579

Practice location

5891 W Eugie Ave
Glendale, AZ 85304-1252
Phone
(602) 588-6703

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NPI record

NPI
1124098579
Entity type
Individual (Type 1)
Enumeration date
January 26, 2006
Last updated
October 11, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 14021 AZ
General Practice Physician 208D00000X 14021 AZ
Emergency Medicine Physician 207P00000X 14021 AZ

Mailing address

11001 N Black Canyon Hwy
Phoenix, AZ 85029-4757
Phone
(602) 371-2515

About Dr. Roth

Earl Eugene Roth Jr., MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 5891 W Eugie Ave, Glendale, AZ 85304-1252. The NPI number 1124098579 was assigned on January 26, 2006 and the record was last updated on October 11, 2007.

Dr. Roth lists 3 licenses in the registry: #14021 (AZ) for Pediatrics Physician; #14021 (AZ) for General Practice Physician; #14021 (AZ) for Emergency Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Earl Eugene Roth Jr., MD?

The NPI number is 1124098579.

What is the phone number of Dr. Roth?

The phone number listed for the practice location is (602) 588-6703.

Where is Dr. Roth located?

5891 W Eugie Ave, Glendale, AZ 85304-1252.

What is the taxonomy code for Dr. Roth?

The primary taxonomy code is 208000000X – Pediatrics Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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