Search › Missouri › 207RG0100X
Benjamin Root, M.D
NPI 1619355765 · on the registry since 2015
Practice
- Address
- 11525 Olde Cabin Rd
Saint Louis, MO 63141 - Phone
- (314) 279-9049
- Fax
- (314) 997-5086
- Organisation at this address
- Prorehab Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 550 1st Ave, New York, NY
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 390200000X
- Licence states on file
- NY, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri