Eric Jonathan Root, DO Valid NPI

Individual provider · Family Medicine Physician · Kanab, UT

NPI

1528445202

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

10875819-1204 (UT)

Sex

Male

Sole proprietor

Yes

Enumerated

2015-05-01

Last updated

2023-11-27