Individual provider · Type 1 NPI

George J. Roth, PA-C

Physician Assistant · Fruitland, ID

NPI number 1073720124 Active

Practice location

1210 NW 16th St
Fruitland, ID 83619-2202

Call (208) 452-8600 Map

Fax (208) 452-8601

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-97 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1073720124

George J. Roth, PA-C's National Provider Identifier is 1073720124, issued on May 17, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fruitland, ID. The record was last updated on Sep 13, 2012.