Individual
JEFFREY D ROLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
426 W PEARL ST, STAUNTON, IL 62088-1313
(618) 635-3200
(618) 635-5445
Mailing address
426 W PEARL ST, STAUNTON, IL 62088-1313
(618) 635-3200
(618) 635-5445
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38-009779
IL
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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