Individual
DR. ROGER E TELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 JAMES SIMPSON JR WAY, COVINGTON, KY 41011-0801
(859) 655-1100
(859) 655-1102
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 655-1100
(859) 655-1102
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
01039670A
IN
207RI0200X
Infectious Disease Physician
Primary
33494
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64343940
—
KY
Enumeration date
06/12/2006
Last updated
08/23/2023
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