Roots Medical, LLC

NPI #1063805752 in Centennial, Colorado

Provider Information

NPI Number: 1063805752
Entity Type: Organization
Organization Name: Roots Medical, LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 5, 2015
Last Updated: Mar 15, 2018

Practice Location

Address: 6091 S QUEBEC ST
Address 2: SUITE 200
City: Centennial
State: Colorado
ZIP Code: 80111
Phone: (720) 390-5148

Authorized Official

Name: MR. MATTHEW NORMAN DARK
Title: OFFICE MANAGER
Phone: (720) 729-0108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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