Individual
DR. KEN ERNEST ROOT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2730 S VAL VISTA DR, SUITE # 146, GILBERT, AZ 85295-1675
(480) 926-0644
(480) 926-0645
Mailing address
2730 S VAL VISTA DR, SUITE # 146, GILBERT, AZ 85295-1675
(480) 926-0644
(480) 926-0645
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
1688
AZ
Other
Enumeration date
02/13/2006
Last updated
09/04/2007
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