Dr. Nicole Megan Roth, DPM
Podiatrist in Boulder, CO. Individual provider (NPI-1).
NPI number1770879413
StatusActive
Last updated in NPPESJan 14, 2019
Details
- NPI
- 1770879413
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicole Megan Roth
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2011
- Last updated
- Jan 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | POD.0000829 | CO | Yes |
Practice location
1400 28th St Ste 2Boulder, CO 80303-1096
Phone 303-449-2000 · Fax 303-449-9475
Mailing address
Po Box 21150Boulder, CO 80308-4150
Phone 303-546-9158 · Fax 303-546-9107
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Other Podiatrist providers in Boulder, CO
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- Zak H Weis, DPMNPI 1811903446
All 7 Podiatrist providers in Boulder · All 7,147 providers in Boulder
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