Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JUSTIN STEPHAN ROTH, D.O.
ActiveDR. JUSTIN STEPHAN ROTH, D.O. is a Pediatric Orthopaedic Surgery healthcare provider located in MERIDIAN, Idaho. NPI 1306109954 is currently active in the NPPES registry. Verify at CMS.
Pediatric Orthopaedic Surgery · MERIDIAN, ID
Registration Details
- NPI Number
- 1306109954
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2012 (14.172541120482 yrs)
- Last Updated
- Jul 28, 2023
- Licenses
-
O-1847 (ID)187405 (OR)
Practice Information
- Address
-
3399 E LOUISE DR STE 200MERIDIAN, ID, 836425212Browse ID providers · Browse ZIP 83642
- Phone
- 2087062663
- Primary Specialty
-
Pediatric Orthopaedic Surgery
207XP3100X
- Additional Specialty
- Pediatric Orthopaedic Surgery
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.