Individual
MARGARET ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.A.
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000022
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375437
ANTHEM
OH
05
—
2265089
—
OH
Enumeration date
10/17/2006
Last updated
07/08/2007
Update your record
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