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NPI Code Detail

MEDICARE: SARAH ROTH

MEDICARE: SARAH ROTH
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
1207P00000XEmergency Medicine Physician22354CA
2207P00000XEmergency Medicine Physician007101AZ
3207P00000XEmergency Medicine PhysicianDO192347OR

General Provider Information

NPI Number : 1518304252
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ROTH
Provider Business Mailing Address
First Line : 3269 N STOCKTON HILL RD
Second Line :
City : KINGMAN
State : AZ
Zip : 86409-3619
Country : US
Telephone Number : 509-434-8268
Fax Number :
Provider Business Practice Location Address
First Line : 3269 N STOCKTON HILL RD
Second Line :
City : KINGMAN
State : AZ
Zip : 86409-3619
Country : US
Telephone Number : 509-434-8268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2013
Last Update Date : 06/17/2026

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Directions to “ SARAH ROTH ” Practice Location

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