Russell B Roth Md Pllc in Muskogee - Specialist
Russell B Roth Md Pllc - NPI 1073773735
Russell B Roth Md Pllc is a Specialist in Muskogee, Oklahoma. Russell B Roth Md Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Russell B Roth Md Pllc is 1073773735. The last update date is 2011-03-25.
Russell B Roth Md Pllc's current location address is 3401 W Broadway St, Muskogee, Oklahoma. You can contact this provider via phone number 9186875477 and fax number 9186875481. The mailing address for Russell B Roth Md Pllc is 3401 W Broadway St, Muskogee, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Russell B Roth Md Pllc |
|---|---|
| Address | 3401 W Broadway St, Muskogee, Oklahoma |
| Phone Number | 9186875477 |
| Fax Number | 9186875481 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Roth B Russell |
| Credentials | MD |
| Telephone Number | 9186875477 |
NPI Number Detail
| NPI Number | 1073773735 |
|---|---|
| Provider Enumeration Date | 2008-06-16 |
| Last Updated Date | 2011-03-25 |
Provider Mailing Address Detail
| Address | 3401 W Broadway St |
|---|---|
| City | Muskogee |
| State | Oklahoma (OK) |
| Post Code | 744012136 |
| Phone Number | 9186875477 |
| Fax Number | 9186875481 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Russell B Roth Md Pllc?
The Russell B Roth Md Pllc has been issued the NPI (National Provider Identifier) 1073773735 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Russell B Roth Md Pllc is located?
The Russell B Roth Md Pllc is situated at the following address: 3401 W Broadway St, Muskogee, OK, 744012136.
What is the area of specialization for Russell B Roth Md Pllc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Russell B Roth Md Pllc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did Russell B Roth Md Pllc receive its 1073773735 assignment from the Centers for Medicare & Medicaid Services?
The Russell B Roth Md Pllc was assigned its 1073773735 on 2008-06-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Russell B Roth Md Pllc most recently updated?
The details pertaining to the Russell B Roth Md Pllc, including its address, specialty, and other relevant information, were last refreshed on 2011-03-25.
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