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Individual

STEPHANIE DIANE ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1335 E WHITESTONE BLVD, CEDAR PARK, TX 78613-7598
(512) 255-6860
(512) 255-6860
Mailing address
1335 E WHITESTONE BLVD, CEDAR PARK, TX 78613-7598
(512) 255-6860
(512) 255-6860

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
K7091
TX

Other

Enumeration date
04/15/2006
Last updated
08/22/2013
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