SearchIdahoPhysician Assistant

George Roth, PA-C

NPI 1073720124 · on the registry since 2007

Practice

Address
1210 Nw 16th St
Fruitland, ID 83619
Phone
(208) 452-8600
Fax
(208) 452-8601
Clinicians at this address
26

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-09-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho