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Jonathan D Root, MD
Diagnostic Radiology Physician in St Charles, Missouri
NPI 1033139696

Jonathan D Root is a Diagnostic Radiology Physician based in Saint Charles, MO and is specialized in Diagnostic Radiology. Jonathan D Root practices in St Charles, MO and has the professional credentials of MD. The NPI Number for Jonathan D Root is 1033139696 and holds a License No. R8F12 (Missouri).

The current practice location address for Jonathan D Root is 300 First Capitol Drive, St Charles, MO and can be reached out via phone at 636-947-5444.

Location: 300 First Capitol Drive, St Charles, MO, 63301-4405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033139696
Provider Name
Jonathan D Root
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 First Capitol Drive, St Charles, MO, 63301-4405
Phone Number
636-947-5444
Fax Number
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036086602 05 IL
300102466 01 MO RAILROAD MEDICARE
203143300 05 MO
300102481 01 MO RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
300 First Capitol Drive
City
St Charles
State
Missouri
Zip
63301
Phone Number
636-947-5444
Fax Number
person
Provider Business Mailing Address Details
Address
300 First Capitol Drive
City
St Charles
State
Missouri
Zip
63301
Phone Number
636-947-5444
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
R8F12 (Missouri)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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