Charles Roller
M.D. | Pediatrics | Male
Charles Roller, M.D. is a Mesa, Arizona based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Charles Roller is
10720 E Southern Ave, Suite 116, Mesa, Arizona - 85209-3810. He can be contacted on phone at
480-365-0050 and fax number 480-365-0049.
Charles Roller is a sole proprietor of his business.
NPI number (Unique professional ID) for Charles Roller is
1912925140 which was assigned by NPPES on 17 Jul, 2006 and it was last updated on 25 Nov, 2014.
Charles Roller license number is
42322 for Pediatrics (208000000X) in Arizona.
Charles Roller is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Charles Roller basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Charles Roller |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Charles Roller address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 10720 E Southern Ave, Suite 116
Mesa, AZ, 85209-3810
United States |
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| Phone Number : | 480-365-0050 |
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| Fax Number : | 480-365-0049 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1912925140 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Jul, 2006 |
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| Last Updated On : | 25 Nov, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Roller are as mentioned. Primary taxonomy code for Charles Roller, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | R4P75 | MO |
| 208000000X | Pediatrics | Yes | 42322 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of Charles Roller such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 500496 | MEDICAID | AZ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 10720 E Southern Ave, Suite 116
Mesa, AZ, 85209-3810
United States |
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| Phone Number : | 480-365-0050 |
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| Fax Number : | 480-365-0049 |
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Business Location:
Patients can refer following map for directions to
Charles Roller practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.