Individual provider · Type 1 NPI
Mackenzie Lynn Roth, PA
Medical Physician Assistant · Hillsboro, MO
NPI number
1831765759
Active
Practice location
5194 Jeremiah Blvd
Hillsboro, MO 63050-5815
Fax (636) 543-2329
Mailing address
PO Box 776084
Chicago, IL 60677-6084
Other practice locations
- 255 Boderman, Bloomsdale, MO 63627-9099 · (573) 483-2929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 2021010020 (MO) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Hillsboro
About NPI 1831765759
Mackenzie Lynn Roth, PA's National Provider Identifier is 1831765759, issued on Jun 1, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hillsboro, MO. The record was last updated on Jun 4, 2024.