person
Dr. Bradley Paul Roth, MD
Student in an Organized Health Care Education/Training Program in Idaho Falls, Idaho
NPI 1265061493

Bradley Paul Roth is a Student in an Organized Health Care Education/Training Program based in Idaho Falls, ID. Bradley Paul Roth practices in Idaho Falls, ID and has the professional credentials of MD. The NPI Number for Bradley Paul Roth is 1265061493 and holds a License No. (Idaho).

The current practice location address for Bradley Paul Roth is 3100 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-529-6111.

Location: 3100 Channing Way, Idaho Falls, ID, 83404-7533
person
Provider Profile Details
NPI Number
1265061493
Provider Name
Bradley Paul Roth
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3100 Channing Way, Idaho Falls, ID, 83404-7533
Phone Number
208-529-6111
Fax Number
Provider Enumeration Date
04/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3100 Channing Way
City
State
Zip
83404-7533
Phone Number
208-529-6111
Fax Number
person
Provider Business Mailing Address Details
Address
3100 Channing Way
City
State
Zip
83404-7533
Phone Number
208-529-6111
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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