Individual
DR. RICHARD ALLEN ROLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
805 E LEE ST, SUITE C, ENTERPRISE, AL 36330-2368
(334) 348-8818
(334) 393-8773
Mailing address
805 E LEE ST, SUITE C, ENTERPRISE, AL 36330-2368
(334) 348-8818
(334) 393-8773
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
29971
AL
2083A0100X
Aerospace Medicine Physician
29971
AL
208D00000X
General Practice Physician
Primary
29971
AL
Other
Enumeration date
04/26/2006
Last updated
11/20/2015
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