Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GEORGE J ROTH, PA-C
ActivePhysician Assistant · FRUITLAND, ID
Registration Details
- NPI Number
- 1073720124
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2007 (18.929565946696 yrs)
- Last Updated
- Sep 13, 2012
- License
-
PA-97 (ID)
Practice Information
- Address
-
1210 NW 16TH STFRUITLAND, ID, 836192202Browse ID providers · Browse ZIP 83619
- Phone
- 2084528600
- Fax
- 2084528601
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FRUITLAND, ID
| Name | Credential | NPI |
|---|---|---|
| THAD W WILKEY | PA | 1174513188 |
| CLINTON W BAKER | PA-C | 1861483562 |
| MR. MATTHEW JOSEPH BERRIA | PA | 1982791810 |
| SAGE MICHELE BENINTENDI-STRINGER | PA | 1902985740 |
| NICOLE K HOYT | PA-C | 1578733234 |
| MARY LYNN JAMES | PA | 1982907747 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.