Terry R Roth Md Pc is a Clinic/Center based in Rockford, IL. Terry R Roth Md Pc practices in Rockford, IL. The NPI Number for Terry R Roth Md Pc is 1265601579 and holds a License No. (Illinois).
The current practice location address for Terry R Roth Md Pc is 4920 E State St, Rockford, IL and can be reached out via phone at 815-226-1906 and via fax at 815-226-8474. You can also correspond with Terry R Roth Md Pc through the mailing address at 4920 E STATE ST, ROCKFORD, IL - 61108-2272 (mailing address contact number: 815-226-1906).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10132303 | 01 | IL | BCBS |
| 629800 | 01 | IL | PTAN |
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