ROBERT ROTH MD A PROFESSIONAL NPI 1023287695

NPI Information

ROBERT ROTH MD A PROFESSIONAL is a multi-specialty clinic center in Las Vegas, NV. ROBERT ROTH MD A PROFESSIONAL NPI is 1023287695. The provider is registered as an organization entity type.
The provider Is Doing Business As Box Canyon Primary Care.

The provider's business location address is:

2647 BOX CANYON DR
LAS VEGAS, NV
ZIP 89128-450
Phone: (702) 363-5575
Fax: (702) 646-1727

The provider's authorized official is Ashley Nuss .
The authorized official title is Biller/coder and has the following contact phone number (702) 363-5575.

The CLIA number assigned to this NPI record is 29D0894572 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2008 and was last updated on 8/31/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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