Individual
MR. ROY E TOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
501 BATH RD, BRISTOL, PA 19007-3101
(215) 785-9200
(215) 672-4264
Mailing address
PO BOX 650782, DALLAS, TX 75265-0782
(302) 733-0806
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO11542200
NJ
367500000X
Certified Registered Nurse Anesthetist
26NJ00285600
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
RN354006L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077577
AANA
—
05
—
102309720
—
PA
Enumeration date
06/06/2007
Last updated
12/22/2011
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