Search › Arizona › 363L00000X
Jeffrey Roth, FNP
NPI 1992424923 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1215 N Beaver St
Flagstaff, AZ 86001 - Phone
- (928) 773-2200
- Fax
- (928) 773-2300
- Organisation at this address
- Southwest Heart And Lung Flagstaff
Northern Arizona Healthcare CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 44
Additional practice sites
- 16196 W Gibson Ln, Goodyear, AZ
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 207Q00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-21
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 Arizona