Matthew C Roth

NPI #1366780819 in Fort Hood, Texas

Provider Information

NPI Number: 1366780819
Entity Type: Individual
Name: Matthew C Roth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Pathology
Enumeration Date: Jan 17, 2013
Last Updated: Jan 17, 2013

Practice Location

Address: 36000 DARNALL LOOP
City: Fort Hood
State: Texas
ZIP Code: 76544-5095
Phone: (254) 288-8222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Pathology	246R00000X	Primary

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