Individual
MR. SAMUEL ROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
10103 RIDGEGATE PKWY STE 306, LONE TREE, CO 80124-5525
(303) 921-1879
Mailing address
10103 RIDGEGATE PKWY STE 306, LONE TREE, CO 80124-5525
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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