| George J Roth, PA-C | |
|
1210 Nw 16th St, Fruitland, ID 83619-2202 | |
| (208) 452-8600 | |
| (208) 452-8601 |
| Full Name | George J Roth |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1210 Nw 16th St, Fruitland, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073720124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-97 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| George J Roth, PA-C 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | George J Roth, PA-C 1210 Nw 16th St, Fruitland, ID 83619-2202 Ph: (208) 452-8600 |
Tea Hasanovic, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2101 N Whitley Dr, Fruitland, ID 83619 Phone: 208-452-5999 | |
Charles Edward Brioschi Jr., PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 910 Nw 16th Street, Ste 205, Fruitland, ID 83619 Phone: 208-452-3111 Fax: 208-452-3666 | |
Jaclyn R Hope, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1210 Nw 16th St, Fruitland, ID 83619 Phone: 208-452-8600 | |
Thad W Wilkey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2101 N Whitley Dr, Fruitland, ID 83619 Phone: 208-452-5999 Fax: 208-452-4499 | |
Mrs. Crysta Kimes, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 910 Nw 16th St Ste 101, Fruitland, ID 83619 Phone: 208-452-8000 | |
Victor M Ishida, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 910 Nw 16th St Ste 101, Fruitland, ID 83619 Phone: 208-452-8050 Fax: 208-452-8055 |