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Individual
STEPHEN P KROTH
Active
Individual
STEPHEN P KROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
OKO000039
PA
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
OS015703
PA
207Q00000X
Family Medicine Physician
OS015703
PA
Other
Enumeration date
09/17/2008
Last updated
09/07/2012
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