Individual
DR. MARC T ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-5350
(816) 932-5793
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 932-5350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55015
TN
207RH0003X
Hematology & Oncology Physician
0444880
KS
207RH0003X
Hematology & Oncology Physician
Primary
2021014860
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2015
Last updated
05/16/2022
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