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Individual
DANIEL BENSON ROOTMAN
Active
Individual
DANIEL BENSON ROOTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSC MD FRCSC
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A122223
CA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
122223
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1222230
—
CA
Enumeration date
07/25/2012
Last updated
03/21/2017
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