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Individual

DONALD ROOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
22 INDUSTRIAL PARK RD, BROOKVILLE, PA 15825-7228
(814) 849-0990
Mailing address
2564 SHERIDAN RD, NEW BETHLEHEM, PA 16242-4236
(814) 221-3033

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA003780
PA

Other

Enumeration date
05/16/2016
Last updated
05/16/2016
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