person
Dr. John Orville Roller, DPM
Primary Podiatric Medicine Podiatrist in Hollister, Missouri
NPI 1285636753

John Orville Roller is a Primary Podiatric Medicine Podiatrist based in Hollister, MO and is specialized in Primary Podiatric Medicine. John Orville Roller practices in Hollister, MO and has the professional credentials of DPM. The NPI Number for John Orville Roller is 1285636753 and holds a License No. 000740 (Missouri).

The current practice location address for John Orville Roller is 1691 S Bus Hwy 65, Hollister, MO and can be reached out via phone at 417-336-3210 and via fax at 417-336-3201.

Location: 1691 S Bus Hwy 65, Hollister, MO, 65673-0147
person
Provider Profile Details
NPI Number
1285636753
Provider Name
John Orville Roller
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1691 S Bus Hwy 65, Hollister, MO, 65673-0147
Phone Number
417-336-3210
Fax Number
417-336-3201
Provider Enumeration Date
08/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00357831 01 RR MCR
institution
Provider Business Practice Location Address Details
Address
1691 S Bus Hwy 65
City
State
Zip
65672-6342
Phone Number
417-336-3210
Fax Number
417-336-3201
person
Provider Business Mailing Address Details
Address
1691 S Bus Hwy 65
City
State
Zip
65672-6342
Phone Number
417-336-3210
Fax Number
417-336-3201
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
000740 (Missouri)
Definition
Definition to come...
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