Individual
BENJAMIN ZIMMERMAN ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11525 OLDE CABIN RD, SAINT LOUIS, MO 63141-7146
(314) 279-9049
(314) 997-5086
Mailing address
11525 OLDE CABIN RD, SAINT LOUIS, MO 63141-7146
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2021008458
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/09/2015
Last updated
06/28/2021
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