Individual
ROGER ALAN KOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
513 PORTWEST CT, RICHMOND, VA 23238-5529
(804) 614-5944
Mailing address
513 PORTWEST CT, RICHMOND, VA 23238-5529
(804) 614-5944
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1782
VA
175T00000X
Peer Specialist
—
VA
Other
Enumeration date
03/14/2018
Last updated
07/21/2022
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