Individual
TAYLOR L ROOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1003 BELLEFONTAINE AVE STE 200, LIMA, OH 45804-1803
(419) 224-5915
(419) 224-5918
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4586
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007443RX
OH
Other
Enumeration date
05/09/2021
Last updated
02/23/2022
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