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Individual

DR. HUNTER ROLLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 788-3030
Mailing address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(618) 910-7593

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.084302
IL
2084P0800X
Psychiatry Physician
Primary
125.084302
IL

Other

Enumeration date
06/14/2024
Last updated
06/14/2024
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