Individual
MR. ALISHA JILLY ROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
304 S. 22ND STREET, TEMPLE, TX 76501
(254) 298-7041
Mailing address
304 S. 22ND STREET, TEMPLE, TX 76501
(254) 298-7041
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02772
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096692101
—
TX
Enumeration date
03/31/2006
Last updated
11/19/2018
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