Earl Eugene Roth Jr.
MD | Pediatrics | Male
Earl Eugene Roth Jr., MD is a Glendale, Arizona based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Earl Eugene Roth Jr. is
5891 W Eugie Ave, Glendale, Arizona - 85304-1252. He can be contacted on phone at
602-588-6703.
Earl Eugene Roth Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Earl Eugene Roth Jr. is
1124098579 which was assigned by NPPES on 26 Jan, 2006 and it was last updated on 11 Oct, 2007.
Earl Eugene Roth Jr. license number is
14021 for Pediatrics (208000000X) in Arizona.
Earl Eugene Roth Jr. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Earl Eugene Roth Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Earl Eugene Roth Jr. |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Earl Eugene Roth Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5891 W Eugie Ave
Glendale, AZ, 85304-1252
United States |
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| Phone Number : | 602-588-6703 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1124098579 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Jan, 2006 |
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| Last Updated On : | 11 Oct, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Earl Eugene Roth Jr. are as mentioned. Primary taxonomy code for Earl Eugene Roth Jr., MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208D00000X | General Practice | No | 14021 | AZ |
| 207P00000X | Emergency Medicine | No | 14021 | AZ |
| 208000000X | Pediatrics | Yes | 14021 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of Earl Eugene Roth Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 448424 | MEDICAID | AZ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 11001 N Black Canyon Hwy
Phoenix, AZ, 85029-4757
United States |
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| Phone Number : | 602-371-2515 |
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Business Location:
Patients can refer following map for directions to
Earl Eugene Roth Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.