Individual provider · Type 1 NPI

Michelle Renee Root, P.A.

Medical Physician Assistant · Colorado Springs, CO

NPI number 1154579555 Active

Practice location

155 Printers Pkwy
Colorado Springs, CO 80910-6100

Call (719) 632-5700 Map

Fax (719) 344-7817

Mailing address

3205 N Academy Blvd, Suite 130
Colorado Springs, CO 80917-5147

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X999 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1154579555

Michelle Renee Root, P.A.'s National Provider Identifier is 1154579555, issued on Aug 28, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Colorado Springs, CO. The record was last updated on Apr 5, 2017.