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Individual

FRITZLAINE C. ROCHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110-1003
(314) 454-8622
Mailing address
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110-1003

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2021020661
MO
207N00000X
Dermatology Physician
Primary
2022019693
MO
207N00000X
Dermatology Physician
Primary
2024043275
MO
208000000X
Pediatrics Physician
2021020661
MO
208000000X
Pediatrics Physician
9410577
KS

Other

Enumeration date
03/23/2021
Last updated
03/09/2026
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