Individual
BRENTIN LEE ROLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2510 W DUNLAP AVE, STE 290, PHOENIX, AZ 85021-2759
(602) 789-0344
(602) 870-7566
Mailing address
2510 W DUNLAP AVE, STE 290, PHOENIX, AZ 85021-2759
(602) 789-0344
(602) 870-7566
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
006943
AZ
Other
Enumeration date
06/26/2012
Last updated
09/22/2016
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