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Theodore Lee Roth, MD,PHD
Student in an Organized Health Care Education/Training Program in Stanford, California
NPI 1033798194

Theodore Lee Roth is a Student in an Organized Health Care Education/Training Program based in Stanford, CA. Theodore Lee Roth practices in Stanford, CA and has the professional credentials of MD,PHD. The NPI Number for Theodore Lee Roth is 1033798194 and holds a License No. (California).

The current practice location address for Theodore Lee Roth is 300 Pasteur Drive, Stanford, CA and can be reached out via phone at 877-717-3733.

Location: 300 Pasteur Drive, Stanford, CA, 94305-5324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033798194
Provider Name
Theodore Lee Roth
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
300 Pasteur Drive, Stanford, CA, 94305-5324
Phone Number
877-717-3733
Fax Number
Provider Enumeration Date
04/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Pasteur Drive
City
Stanford
State
California
Zip
94305-5324
Phone Number
877-717-3733
Fax Number
person
Provider Business Mailing Address Details
Address
300 Pasteur Drive
City
Stanford
State
California
Zip
94305-5324
Phone Number
877-717-3733
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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