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Individual

SHANE M ROOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912

Taxonomy

Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
60390
AZ
2084N0400X
Neurology Physician
Primary
60390
AZ

Other

Enumeration date
03/31/2016
Last updated
04/28/2026
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