person
Michelle Renee Root, PA
Medical Physician Assistant in Colorado Springs, Colorado
NPI 1154579555

Michelle Renee Root is a Medical Physician Assistant based in Colorado Springs, CO and is specialized in Medical. Michelle Renee Root practices in Colorado Springs, CO and has the professional credentials of PA. The NPI Number for Michelle Renee Root is 1154579555 and holds a License No. 999 (Colorado).

The current practice location address for Michelle Renee Root is 155 Printers Pkwy, Colorado Springs, CO and can be reached out via phone at 719-632-5700 and via fax at 719-344-7817.

Location: 155 Printers Pkwy, Colorado Springs, CO, 80917-5147
person
Provider Profile Details
NPI Number
1154579555
Provider Name
Michelle Renee Root
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
155 Printers Pkwy, Colorado Springs, CO, 80917-5147
Phone Number
719-632-5700
Fax Number
719-344-7817
Provider Enumeration Date
08/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
999 01 CO STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
155 Printers Pkwy
City
State
Zip
80910-6100
Phone Number
719-632-5700
Fax Number
719-344-7817
person
Provider Business Mailing Address Details
Address
155 Printers Pkwy
City
State
Zip
80910-6100
Phone Number
719-632-5700
Fax Number
719-344-7817
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
999 (Colorado)
Definition
Definition to come...
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