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Individual
ALFRED S. ROLLER
Active
Individual
ALFRED S. ROLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00020773
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0228471
LIWA
WA
05
—
1131200
—
WA
01
—
2655RO
BSWA
WA
01
—
3076RO
BSWA
WA
Enumeration date
05/27/2006
Last updated
12/09/2019
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