Earl Eugene Roth Jr, MD - Pediatrics in Glendale, AZ

Earl Eugene Roth Jr, MD is a Pediatrics physician based in Glendale, Arizona. Earl Eugene Roth Jr is licensed to practice in Arizona (license number 14021) and his current practice location is 5891 W Eugie Ave, Glendale, Arizona. He can be reached at his office (for appointments etc.) via phone at (602) 588-6703.

NPI number for Earl Eugene Roth Jr is 1124098579 and his current mailing address is 11001 N Black Canyon Hwy, Phoenix, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124098579.

Contact Information

Earl Eugene Roth Jr, MD
5891 W Eugie Ave,
Glendale, AZ 85304-1252
(602) 588-6703
Not Available

Map and Direction




Physician's Profile

Full NameEarl Eugene Roth Jr
GenderMale
SpecialityPediatrics
Location5891 W Eugie Ave, Glendale, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124098579
  • Provider Enumeration Date: 01/26/2006
  • Last Update Date: 10/11/2007

Medical Identifiers

Medical identifiers for Earl Eugene Roth Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124098579NPI-NPPES
448424MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 14021 (Arizona)Primary
208D00000XGeneral Practice 14021 (Arizona)Secondary
207P00000XEmergency Medicine 14021 (Arizona)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Earl Eugene Roth Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Earl Eugene Roth Jr, MD
11001 N Black Canyon Hwy,
Phoenix, AZ 85029-4757

Ph: (602) 371-2515
Earl Eugene Roth Jr, MD
5891 W Eugie Ave,
Glendale, AZ 85304-1252

Ph: (602) 588-6703

Reviews and Comments


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