Individual
DR. SCOTT ALLAN ROOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24712 AVONDALE DR, LAGUNA HILLS, CA 92653-5752
(949) 290-2189
Mailing address
5 E 98TH ST, NEW YORK, NY 10029-6501
(212) 241-6500
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
309159
NY
207Y00000X
Otolaryngology Physician
35.139127
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2015
Last updated
08/11/2021
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