Individual provider · Type 1 NPI

Stephanie Elizabeth Roller, PA-C

Medical Physician Assistant · Kettering, OH

NPI number 1104437425 Active

Practice location

3535 Southern Blvd
Kettering, OH 45429-1221

Call (937) 395-6665 Map

Fax (937) 395-6668

Mailing address

845 Versailles Dr Apt C
Centerville, OH 45459-6151

Specialties and licenses

TaxonomyCodeLicense
Hospitalist Physician 208M00000X50.006553RX (OH)
Medical Physician Assistant Primary 363AM0700X50.006553RX (OH)

Medical Physician Assistant: Definition to come...

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About NPI 1104437425

Stephanie Elizabeth Roller, PA-C's National Provider Identifier is 1104437425, issued on Aug 11, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Kettering, OH. The record was last updated on Mar 2, 2026.