Dr. Jason Glen Roof, M.D.
Psychiatry & Neurology, Psychiatry in Sacramento, CA. Individual provider (NPI-1).
NPI number1982804670
StatusActive
Last updated in NPPESJul 20, 2007
Details
- NPI
- 1982804670
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason Glen Roof
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2007
- Last updated
- Jul 20, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | A99404 | CA | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | M2058 | TX |
Practice location
2230 Stockton Blvd Fl 2Sacramento, CA 95817-1419
Phone 916-734-0870 · Fax 916-451-9946
Mailing address
2230 Stockton Blvd Fl 2Sacramento, CA 95817-1419
Phone 916-734-0870 · Fax 916-451-9946
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