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

Earl Eugene Roth Jr., MD

Individual provider Pediatrics Physician · NPI 1124098579

Earl Eugene Roth Jr., MD is a Pediatrics Physician in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5891 W Eugie Ave
Glendale, AZ 85304-1252
Phone: (602) 588-6703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 14021 (AZ)
General Practice Physician Taxonomy 208D00000X · Licence 14021 (AZ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 14021 (AZ)

Record details

NPI number1124098579
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 26, 2006
Last updated in NPPESOctober 11, 2007
Mailing address11001 N Black Canyon Hwy, Phoenix, AZ 85029-4757

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