Individual
TYLER STUART ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6696 WARREN DR, DENVER, CO 80221
(419) 674-7116
Mailing address
6696 WARREN DR, DENVER, CO 80221-2662
(419) 674-7116
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/09/2008
Last updated
06/04/2018
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