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Individual

MS. STEPHANIE ELIZABETH ROLLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-6665
(937) 395-6668
Mailing address
845 VERSAILLES DR APT C, CENTERVILLE, OH 45459-6151
(937) 903-3471

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
50.006553RX
OH
363AM0700X
Medical Physician Assistant
Primary
50.006553RX
OH

Other

Enumeration date
08/11/2020
Last updated
03/02/2026
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