Individual
SHAUN R ROOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
88 MCMILLEN DRIVE, NEWARK, OH 43055
(740) 348-4270
(740) 348-4272
Mailing address
88 MCMILLEN DRIVE, NEWARK, OH 43055
(740) 348-4270
(740) 348-4272
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
34.006678
OH
207Y00000X
Otolaryngology Physician
39474
CO
Other
Enumeration date
10/18/2006
Last updated
04/18/2011
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