Individual
DR. STEVEN MARK ROTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 5009B, SAINT LOUIS, MO 63141-8232
(314) 251-5866
(314) 251-5867
Mailing address
621 S NEW BALLAS RD, SUITE 5009B, SAINT LOUIS, MO 63141-8232
(314) 251-5866
(314) 251-5867
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R6801
MO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MD2015-0889
NM
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
R6801
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17906
MO-BLUE SHIELD
—
Enumeration date
07/05/2006
Last updated
01/04/2016
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