Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Russell B Roth MD PLLC

Organization Specialist · NPI 1073773735

Russell B Roth MD PLLC is a Specialist in Muskogee, Oklahoma. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3401 W Broadway St
Muskogee, OK 74401-2136
Phone: (918) 687-5477
Fax: (918) 687-5481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1073773735
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Roth — Owner · (918) 687-5477
NPI enumeratedJune 16, 2008
Last updated in NPPESMarch 25, 2011
Mailing address3401 W Broadway St, Muskogee, OK 74401-2136

Other providers in Muskogee