Charles Roller is a Pediatrics in Mesa, Arizona. Charles Roller practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Charles Roller is 1912925140. The last update date is 2014-11-25.
Charles Roller's current location address is 10720 E Southern Ave, Mesa, Arizona. You can contact this provider via phone number 4803650050 and fax number 4803650049. The mailing address for Charles Roller is 10720 E Southern Ave, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Roller |
|---|---|
| Address | 10720 E Southern Ave, Mesa, Arizona |
| Phone Number | 4803650050 |
| Fax Number | 4803650049 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1912925140 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2014-11-25 |
Provider Mailing Address Detail
| Address | 10720 E Southern Ave |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852093810 |
| Phone Number | 4803650050 |
| Fax Number | 4803650049 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | R4P75 |
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Definition: A pediatrician 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500496 | AZ | -- |
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What is the unique identification code assigned to Charles Roller by the Centers for Medicare & Medicaid Services?
The Charles Roller has been issued the NPI (National Provider Identifier) 1912925140. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Charles Roller located?
The Charles Roller is located at 10720 E Southern Ave, Mesa, AZ 852093810.
What is Charles Roller's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles Roller's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date was the 1912925140 assigned to Charles Roller?
The Charles Roller was issued its 1912925140 on 2006-07-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Charles Roller most recently updated?
The details pertaining to the Charles Roller, including its address, specialty, and other relevant information, were last refreshed on 2014-11-25.
NPI Number: 1881699460
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