Russell B Roth, M.D. Valid NPI
Individual provider · Obstetrics & Gynecology Physician · Muskogee, OK
- NPI
- 1114934924
- Type
- Individual (Type 1)
- Primary specialty
- Obstetrics & Gynecology Physician (Obstetrics & Gynecology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207V00000X
- License number
- 10502 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-08-02
- Last updated
- 2011-03-25
Practice location
3401 W Broadway St
Muskogee, OK 74401-2136
(918) 687-5477