Individual
DR. ANNA ROSHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 ENTRANCE WAY, SAINT PETERS, MO 63376-1645
(636) 916-9920
(636) 916-9176
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01057442A
IN
207RX0202X
Medical Oncology Physician
01057442A
IN
207RX0202X
Medical Oncology Physician
2005028007
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207394602
—
MO
05
—
ENROLLED
—
IL
Enumeration date
04/06/2006
Last updated
03/05/2025
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