| Doctor Name: | TONI C ROTH |
| NPI Number: | 1225063118 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 2006009466 |
| Business Practice Address: | 615 S New Ballas Rd Dept Of Radiology Saint Louis, MO - 631418221 |
| Business Phone Number: | 3142516031 |
| Business Fax Number: | 3142516343 |
| Mailing Address: | 11475 Olde Cabin Rd, Suite 200 SAINT LOUIS |
| State: | MO |
| Postal Code: | 631417128 |
| Phone Number: | 3149918200 |
| Fax Number: | 3149918206 |
| NPI Enumeration Date: | 07/11/2006 |
| NPI Last Update Date: | 09/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 2006009466 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |