Individual provider · Type 1 NPI
John Orville Roller, D.P.M.
Primary Podiatric Medicine Podiatrist · Hollister, MO
NPI number
1285636753
Active
Practice location
1691 S Bus Hwy 65
Hollister, MO 65672-6342
Fax (417) 336-3201
Mailing address
PO Box 147
Hollister, MO 65673-0147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 000740 (MO) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1285636753
John Orville Roller, D.P.M.'s National Provider Identifier is 1285636753, issued on Aug 12, 2005. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Hollister, MO. The record was last updated on Dec 6, 2007.