Individual
DANIEL STEVEN ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
460 WOODLAWN DR, TIPP CITY, OH 45371-9320
(937) 286-4884
Mailing address
460 WOODLAWN DR, TIPP CITY, OH 45371-9320
(937) 286-4884
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/09/2018
Last updated
09/09/2018
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