Individual
MATTHEW C ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36000 DARNALL LOOP, FORT HOOD, TX 76544-5095
(254) 288-8222
Mailing address
2502 BACON RANCH RD, APT 302, KILLEEN, TX 76542-2921
(803) 554-1159
Taxonomy
Speciality
Code
Description
License number
State
246R00000X
Pathology Technician
Primary
—
—
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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