Organization
ROLLER WEIGHT LOSS INSTITUTE,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA ERNEST ROLLER M.D. (PRESIDENT/CEO)
(479) 445-6460
Entity
Organization
Contact information
Practice address
1695 E RAINFOREST RD, FAYETTEVILLE, AR 72703-5385
(479) 445-6460
(479) 445-6719
Mailing address
1695 E RAINFOREST RD, FAYETTEVILLE, AR 72703-5385
(479) 445-6460
(479) 445-6719
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E5193
AR
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200624510A
—
OK
05
—
211552002
—
AR
Enumeration date
07/21/2009
Last updated
08/06/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us