NPI 1154312197
Bradley Dryden Root, DO
Practice location
- Address
- 1424 E Foremaster Dr STE 120, St George, UT 84790-5844
- Phone
- (435) 656-8800
- Fax
- (435) 627-1809
- Mailing address
- 1055 N 500 W Attn: Credentialing, Provo, UT 84604-3305
Registered specialties
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Registry record
- NPI
- 1154312197
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Oct 2005
- Record last updated
- 14 Jun 2017
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.