| NPI | 1710998851 |
|---|---|
| Former Legal Business Name | JOHN O. ROLLER, DPM |
| Entity Type | Organization |
| Authorized Contact | JOHN ORVILLE ROLLER Owner 417-336-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MO 000740) |
| Additional Taxonomies | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: MO 000740) |
| 213ER0200X Podiatrist Radiology (Licence: MO 000740) | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 000740) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2012-04-17 |