TERRY ROTH

Psychiatry & Neurology - Neurology

Active Individual
NPI: 1215919816

Practice Address

4920 EAST STATE ST
Rockford, IL 61108

Phone: (815) 226-1906

Specialties

Specialty Code Primary License
Psychiatry & Neurology - Neurology 2084N0400X Yes 36059503 (IL)

Frequently Asked Questions

NPI 1215919816 is the National Provider Identifier for TERRY ROTH, a Psychiatry & Neurology - Neurology provider located in Rockford, IL. This NPI was enumerated on November 18, 2005.
TERRY ROTH practices at 4920 EAST STATE ST, Rockford, IL 61108.

Quick Facts

NPI
1215919816
Type
Individual
Enumerated
Nov 18, 2005
Last Updated
May 22, 2008

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