Individual
MR. PAUL D ROLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 LAKESHORE DRIVE, STE 200, BIRMINGHAM, AL 35209
(205) 916-0105
(205) 916-0913
Mailing address
1 LAKESHORE DRIVE, STE 200, BIRMINGHAM, AL 35209
(205) 916-0105
(205) 916-0913
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
18110
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051550174
—
AL
01
—
3800017772
MEDICARE RAILROAD
AL
Enumeration date
08/21/2006
Last updated
02/11/2010
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