DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROOTS AND RAICES FUNCTIONAL MEDICINE INC.

Active Organization

ROOTS AND RAICES FUNCTIONAL MEDICINE INC. is a Health Service Clinic organization located in SOUTH OGDEN, Utah. NPI 1952955296 is currently active in the NPPES registry. Verify at CMS.

Health Service Clinic · SOUTH OGDEN, UT

Registration Details

NPI Number
1952955296
Provider Type
Organization
NPI Issued
Jul 25, 2019 (7.099012710318 yrs)
Last Updated
Jan 2, 2020

Practice Information

Address
1452 E RIDGELINE DR STE 5
SOUTH OGDEN, UT, 844054949
Browse UT providers · Browse ZIP 84405
Phone
4352677668
Fax
3852984027
Primary Specialty
Health Service Clinic
261QH0100X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.