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CARRIE ANN ROLLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
217 W CATALDO AVE FL 3, SPOKANE, WA 99201-2217
(509) 747-6194
(509) 838-0824
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A82174
CA
207Y00000X
Otolaryngology Physician
Primary
MD00048480
WA
207YP0228X
Pediatric Otolaryngology Physician
MD00048480
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1045537
WA
01
226035
LABOR & INDUSTRIES
WA
01
P000464176
RAILROAD MEDICARE
WA
Enumeration date
09/13/2006
Last updated
11/29/2022
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