Organization · Type 2 NPI

Russell B Roth MD PLLC

Specialist · Muskogee, OK

NPI number 1073773735 Active

Practice location

3401 W Broadway St
Muskogee, OK 74401-2136

Call (918) 687-5477 Map

Fax (918) 687-5481

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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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About NPI 1073773735

Russell B Roth MD PLLC's National Provider Identifier is 1073773735, issued on Jun 16, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Muskogee, OK. The record was last updated on Mar 25, 2011.