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Individual
DR. DANIEL CHRISTOPHER ROTH
Active
Individual
DR. DANIEL CHRISTOPHER ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MBA, MS
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
02003462A
IN
208100000X
Physical Medicine & Rehabilitation Physician
125050599
IL
208VP0014X
Interventional Pain Medicine Physician
02003462A
IN
Other
Enumeration date
09/12/2007
Last updated
02/04/2019
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