Organization
RADIOLOGY ASSOCIATES OF OXFORD - PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART TODD ROTH (MD)
(662) 232-8158
Entity
Organization
Contact information
Practice address
2301 S LAMAR BLVD, OXFORD, MS 38655-5373
(662) 232-8100
(901) 753-2896
Mailing address
791 WALNUT KNOLL LN, 2ND FL, CORDOVA, TN 38018-8839
(901) 755-7001
(901) 753-2896
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115759
—
MS
Enumeration date
05/26/2006
Last updated
12/10/2021
Update your record
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