MATHEW ROOT

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1134863186

Practice Address

1501 KINGS HWY
Shreveport, LA 71103

Phone: (318) 626-2293

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1134863186 is the National Provider Identifier for MATHEW ROOT, a Student in an Organized Health Care Education/Training Program provider located in Shreveport, LA. This NPI was enumerated on April 26, 2022.
MATHEW ROOT practices at 1501 KINGS HWY, Shreveport, LA 71103.

Quick Facts

NPI
1134863186
Type
Individual
Enumerated
Apr 26, 2022
Last Updated
Apr 26, 2022

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