Organization · Type 2 NPI

Terry R Roth MD PC

Clinic/Center · Rockford, IL

NPI number 1265601579 Active

Practice location

4920 E State St
Rockford, IL 61108-2272

Call (815) 226-1906 Map

Fax (815) 226-8474

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

13 other providers at this address

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About NPI 1265601579

Terry R Roth MD PC's National Provider Identifier is 1265601579, issued on Feb 21, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Rockford, IL. The record was last updated on Jun 25, 2015.