NPI 1063805752

Roots Medical, LLC

Organisation Family Medicine Physician Centennial, CO

Practice location

Address: 6091 S Quebec St Suite 200, Centennial, CO 80111
Phone: (720) 390-5148
Fax: (720) 729-0108

Authorised official

Name: Matthew Norman Dark
Title: Office Manager
Phone: (720) 729-0108

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Colorado →

Registry record

NPI: 1063805752
Entity type: Organization
NPI issued: 5 Mar 2015
Record last updated: 15 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.