Individual
ELIZABETH JANE ROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559-0287
(907) 543-6300
Mailing address
P.O. BOX 287, BETHEL, AK 99559-0287
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
39865
MN
207Q00000X
Family Medicine Physician
Primary
4373
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD4373
—
AK
Enumeration date
05/01/2007
Last updated
01/28/2008
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