SearchMissouri363AM0700X

Mackenzie Roth, PA

NPI 1831765759 · on the registry since 2021

Practice

Address
5194 Jeremiah Blvd
Hillsboro, MO 63050
Phone
(636) 543-2328
Fax
(636) 543-2329
Clinicians at this address
2

Additional practice sites

  • 255 Boderman, Bloomsdale, MO

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-06-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri