NPI 1033139696

Jonathan D Root, MD

Practitioner Diagnostic Radiology Physician St Charles, MO

Practice location

Address: 300 First Capitol Drive, St Charles, MO 63301
Phone: (636) 947-5444
Mailing address: 220 Compass Point Dr, Saint Charles, MO 63301-4405

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence R8F12 (MO)

Other Radiology providers in Missouri →

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 036086602 (IL)

Registry record

NPI: 1033139696
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2006
Record last updated: 8 Jul 2007

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.