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Individual

DANIEL LEE ROOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
Mailing address
16731 SALLIE LN, HARVEST, AL 35749-7033
(256) 599-3551

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-140618
AL

Other

Enumeration date
05/20/2017
Last updated
03/17/2018
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