person
Jason R Roller, PA-C
Surgical Physician Assistant in Kettering, Ohio
NPI 1689798662

Jason R Roller is a Surgical Physician Assistant based in Kettering, OH and is specialized in Surgical. Jason R Roller practices in Kettering, OH and has the professional credentials of PA-C. The NPI Number for Jason R Roller is 1689798662 and holds a License No. 50-002592 (Ohio).

The current practice location address for Jason R Roller is 3533 Southern Blvd, Kettering, OH and can be reached out via phone at 937-395-8556 and via fax at 937-522-7873.

Location: 3533 Southern Blvd, Kettering, OH, 45429-1267
person
Provider Profile Details
NPI Number
1689798662
Provider Name
Jason R Roller
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3533 Southern Blvd, Kettering, OH, 45429-1267
Phone Number
937-395-8556
Fax Number
937-522-7873
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0080733 05 OH
institution
Provider Business Practice Location Address Details
Address
3533 Southern Blvd
City
State
Zip
45429-1267
Phone Number
937-395-8556
Fax Number
937-522-7873
person
Provider Business Mailing Address Details
Address
3533 Southern Blvd
City
State
Zip
45429-1267
Phone Number
937-395-8556
Fax Number
937-522-7873
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
50-002592 (Ohio)
Definition
Definition to come...
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