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Individual

DR. ROBERT CALVIN ROOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1501 HILAND AVE, BURLEY, ID 83318-2688
(208) 678-4444
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
O-1947
ID
207P00000X
Emergency Medicine Physician
Q8785
TX

Other

Enumeration date
05/24/2013
Last updated
02/05/2025
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