Dr. Patrick Jeremy Roth, M.D.
Radiology, Diagnostic Radiology in Sayre, PA. Individual provider (NPI-1).
NPI number1730574591
StatusActive
Last updated in NPPESSep 4, 2024
Details
- NPI
- 1730574591
- Entity type
- Individual (NPI-1)
- Name
- Dr. Patrick Jeremy Roth
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2015
- Certification date
- Sep 4, 2024
- Last updated
- Sep 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | MD61158049 | WA | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | TRN23059 | FL | |
| 2085R0202X | Radiology, Diagnostic Radiology | ME151547 | FL |
Practice location
1 Guthrie SqSayre, PA 18840-1625
Phone 570-887-4401
Mailing address
1 Guthrie SqSayre, PA 18840-1625
Phone 570-887-4401
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