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NPI Code Detail

MEDICARE: ANDREW MICHAEL ROTH MD

MEDICARE: ANDREW MICHAEL ROTH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology PhysicianR80690AZ

General Provider Information

NPI Number : 1376246538
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW MICHAEL ROTH MD
Provider Business Mailing Address
First Line : 7165 N PIMA CANYON DR
Second Line :
City : TUCSON
State : AZ
Zip : 85718-1407
Country : US
Telephone Number : 520-694-8888
Fax Number :
Provider Business Practice Location Address
First Line : 7165 N PIMA CANYON DR
Second Line :
City : TUCSON
State : AZ
Zip : 85718-1407
Country : US
Telephone Number : 312-766-4949
Fax Number : 312-766-4925
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2023
Last Update Date : 06/28/2024

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Directions to “ ANDREW MICHAEL ROTH MD” Practice Location

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