Individual
DR. STEPHANIE A. ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
703 W MAIN ST, RUSSELLVILLE, AR 72801-3616
(479) 647-6443
Mailing address
PO BOX 10424, RUSSELLVILLE, AR 72812-0424
(479) 968-3338
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
245
AR
Other
Enumeration date
01/09/2008
Last updated
12/16/2016
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