TERRY R ROTH MD PC is a clinic center in Rockford, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). TERRY R ROTH MD PC NPI is 1265601579. The provider is registered as an organization entity type.
The provider's business location address is:
4920 E STATE ST
ROCKFORD, IL
ZIP 61108-272
Phone: (815) 226-1906
Fax: (815) 226-8474
The provider's authorized official is Terry R Roth .
The authorized official title is Owner and has the following contact phone number (815) 226-1906.
The enumeration date for this NPI number is 2/21/2008 and was last updated on 6/25/2015.