Individual provider · Type 1 NPI

Jason R. Roller, PA-C

Surgical Physician Assistant · Kettering, OH

NPI number 1689798662 Active

Practice location

3533 Southern Blvd, Ste 2100
Kettering, OH 45429-1267

Call (937) 395-8556 Map

Fax (937) 522-7873

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X50-002592 (OH)

Surgical Physician Assistant: Definition to come...

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About NPI 1689798662

Jason R. Roller, PA-C's National Provider Identifier is 1689798662, issued on Mar 16, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Kettering, OH. The record was last updated on Nov 24, 2020.