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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TERRY R ROTH MD PC

Active Organization

TERRY R ROTH MD PC is a Clinic/Center organization located in ROCKFORD, Illinois. NPI 1265601579 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · ROCKFORD, IL

Registration Details

NPI Number
1265601579
Provider Type
Organization
NPI Issued
Feb 21, 2008 (18.481414064406 yrs)
Last Updated
Jun 25, 2015

Practice Information

Address
4920 E STATE ST
ROCKFORD, IL, 611082272
Browse IL providers · Browse ZIP 61108
Phone
8152261906
Fax
8152268474
Primary Specialty
Clinic/Center
261Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.