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Contact Information

ERIC J ROOT, DO
355 N MAIN ST
KANAB, UT84741
 Phone: 435-644-4100
 Fax: 435-644-3366
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ERIC J ROOT · (Male)

NPI Number 1528445202
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/01/2015
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 10875819-1204
Hospital affiliation(s)
  • DIXIE REGIONAL MEDICAL CENTER - (Acute Care)
    1380 EAST MEDICAL CENTER DRIVE
    ST GEORGE, UT 84790
  • KANE COUNTY HOSPITAL - (Critical Access)
    355 NORTH MAIN STREET
    KANAB, UT 84741
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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