NPI 1073773735

Russell B Roth MD PLLC

Organisation Specialist Muskogee, OK

Practice location

Address: 3401 W Broadway St, Muskogee, OK 74401-2136
Phone: (918) 687-5477
Fax: (918) 687-5481

Authorised official

Name: Russell B Roth
Title: Owner
Phone: (918) 687-5477

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Oklahoma →

Registry record

NPI: 1073773735
Entity type: Organization
NPI issued: 16 Jun 2008
Record last updated: 25 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.