TERRY R ROTH MD PC

Clinic/Center

Active Organization
NPI: 1265601579

Practice Address

4920 E STATE ST
Rockford, IL 61108

Phone: (815) 226-1906

Specialties

Specialty Code Primary License
Clinic/Center 261Q00000X Yes -

Frequently Asked Questions

NPI 1265601579 is the National Provider Identifier for TERRY R ROTH MD PC, a Clinic/Center provider located in Rockford, IL. This NPI was enumerated on February 21, 2008.

Quick Facts

NPI
1265601579
Type
Organization
Enumerated
Feb 21, 2008
Last Updated
Jun 25, 2015

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