Individual provider · Type 1 NPI
Roland A. Tolliver Jr., D.P.M.
Foot & Ankle Surgery Podiatrist · Freeport, IL
NPI number
1992891410
Active
Practice location
Freeport Podiatry Services, Llc, 1201 West Empire Street
Freeport, IL 61032-6106
Fax (815) 235-1376
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 016003850 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1992891410
Roland A. Tolliver Jr., D.P.M.'s National Provider Identifier is 1992891410, issued on Oct 4, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Freeport, IL. The record was last updated on Nov 1, 2007.