Dr. John Orville Roller
Primary Podiatric Medicine
1691 S Bus Hwy 65
Hollister
, Missouri 65672-6342
Dr. John Orville Roller
Primary Podiatric Medicine
1691 S Bus Hwy 65
Hollister
, Missouri 65672-6342
(417) 336-3201
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. John Orville Roller
- Po Box 147
- Hollister, MO
- Zip : 65673-0147
- Fax : (417) 336-3201
- Phone : (417) 336-3210
Second Address
- Dr. John Orville Roller
- 1691 S Bus Hwy 65
- Hollister, MO
- Zip : 65672-6342
- Fax : (417) 336-3201
- Phone : (417) 336-3210
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 000740 | MO |
National Provider Identifier
| NPI | 1285636753 |
|---|---|
| Provider Name | Dr. John Orville Roller |
| First Address | Hollister, MO 65673-0147 |
| Second Address | Hollister, MO 65672-6342 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/08/2005 |
| Last Update Date | 06/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P00357831 | RR MCR (01) | |
| U62417 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.