Roth, Bruce Alan

Roth, Bruce Alan is an individual health care provider with primary practice located at 18205 N 51St Ave Suite 109, Glendale AZ 85308-1490. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Roth, Bruce Alan can be contacted via phone (602) 547-1400.

Contact Information

Primary practice address
18205 N 51St Ave Suite 109 Glendale AZ 85308-1490
Phone: (602) 547-1400
Fax: (602) 547-1401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 3604 Arizona

Profile Details

NPI number 1922087287
LBN Legal business name Roth, Bruce Alan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated May 27th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922087287 NPPES
Arizona MEDICAID 590481
Arizona Other Z65448

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