Individual
DR. JASON GLEN ROOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2230 STOCKTON BLVD FL 2, SACRAMENTO, CA 95817-1419
(916) 734-0870
(916) 451-9946
Mailing address
2230 STOCKTON BLVD FL 2, SACRAMENTO, CA 95817-1419
(916) 734-0870
(916) 451-9946
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A99404
CA
2084P0800X
Psychiatry Physician
M2058
TX
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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