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Individual

DR. STUART TODD ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 BELK BLVD, OXFORD, MS 38655-5373
(662) 232-8100
Mailing address
791 WALNUT KNOLL LN, CORDOVA, TN 38018-8839
(901) 755-7001
(901) 753-2896

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12787
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116170
MS
Enumeration date
06/06/2006
Last updated
05/07/2023
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