Organization
MICHAEL S. ROATH MD FAPA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S. ROATH MD (PHYSICIAN/PSYCHIATRIST)
(703) 451-6113
Entity
Organization
Contact information
Practice address
8322 TRAFORD LN, SUITE D, SPRINGFIELD, VA 22152-1668
(703) 451-6113
(703) 866-2430
Mailing address
8322 TRAFORD LN, SUITE D, SPRINGFIELD, VA 22152-1668
(703) 451-6113
(703) 866-2430
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
0101020922
VA
Other
Enumeration date
03/06/2010
Last updated
03/06/2010
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