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1295725380
MAX ROBERT ROOT
ST GEORGE, UT
NPI
1295725380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: UT 176571-1205)
Enumeration Date
2005-10-28
Last Update Date
2023-11-27
Business Address
DR. MAX ROBERT ROOT MD
1424 E FOREMASTER DR #120
ST GEORGE, UT 84790
Phone number: 435-656-8800
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Mailing Address
DR. MAX ROBERT ROOT MD
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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