Individual
ANDREW ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5409 AVENUE O STE 101, FORT MADISON, IA 52627-9601
(319) 376-2134
Mailing address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1679
(319) 768-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-06618
IA
207Q00000X
Family Medicine Physician
R-12620
IA
Other
Enumeration date
04/19/2022
Last updated
08/11/2025
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