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Dr. Justin Stephan Roth, DO
Pediatric Orthopedic Surgery Physician in Meridian, Idaho
NPI 1306109954

Justin Stephan Roth is a Pediatric Orthopedic Surgery Physician based in Boise, ID and is specialized in Pediatric Orthopedic Surgery. Justin Stephan Roth practices in Meridian, ID and has the professional credentials of DO. The NPI Number for Justin Stephan Roth is 1306109954 and holds a License No. O-1847 (Idaho).

The current practice location address for Justin Stephan Roth is 3399 E Louise Dr Ste 200, Meridian, ID and can be reached out via phone at 208-706-2663. You can also correspond with Justin Stephan Roth through the mailing address at 190 E BANNOCK ST, BOISE, ID - 83712-6241 (mailing address contact number: ).

Location: 3399 E Louise Dr Ste 200, Meridian, ID, 83712-6241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306109954
Provider Name
Justin Stephan Roth
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3399 E Louise Dr Ste 200, Meridian, ID, 83712-6241
Phone Number
208-706-2663
Fax Number
Provider Enumeration Date
06/19/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500746847 05 OR
187405 01 OR OREGON MEDICAL BOARD
institution
Provider Business Practice Location Address Details
Address
3399 E Louise Dr Ste 200
City
Meridian
State
Idaho
Zip
83642-5212
Phone Number
208-706-2663
Fax Number
person
Provider Business Mailing Address Details
Address
3399 E Louise Dr Ste 200
City
Meridian
State
Idaho
Zip
83642-5212
Phone Number
208-706-2663
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Pediatric Orthopedic Surgery
Taxonomy
207XP3100X
License No.
O-1847 (Idaho)
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
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