Individual
HEIDI ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7 GREENWOOD AVE, CONWAY, NH 03818-6130
(603) 447-3500
(603) 447-5568
Mailing address
7 GREENWOOD AVE, CONWAY, NH 03818-6130
(603) 447-3500
(603) 447-5568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6487
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106216Y0NH01
ANTHEM BCBS
NH
01
—
163850
CIGNA
NH
05
—
30006474
—
NH
Enumeration date
09/01/2006
Last updated
07/08/2007
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