| Roots Medical, LLC | |
|
6091 S Quebec St Suite 200 Centennial CO 80111 | |
| (720) 390-5148 | |
| (720) 729-0108 |
| Full Name | Roots Medical, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 6091 S Quebec St, Centennial, Colorado |
| Authorized Official Name and Position | Matthew Norman Dark (OFFICE MANAGER) |
| Authorized Official Contact | 7207290108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots Medical, LLC 6091 S Quebec St Suite 200 Centennial CO 80111 Ph: (720) 390-5148 | Roots Medical, LLC 6091 S Quebec St Suite 200 Centennial CO 80111 Ph: (720) 390-5148 |
| NPI Number | 1063805752 |
|---|---|
| Provider Enumeration Date | 03/05/2015 |
| Last Update Date | 03/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063805752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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