Individual
DR. TONI CLARA ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3015 N BALLAS RD, DEPT RADIOLOGY, SAINT LOUIS, MO 63131-2329
(314) 996-5170
(314) 996-4261
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 996-5170
(314) 996-4261
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
2006009466
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200882413
—
MO
Enumeration date
07/11/2006
Last updated
04/25/2024
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