| |
1691 S Business Highway 65, Hollister, MO 65672-6342 | |
(417) 336-3210 | |
(417) 336-3201 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 1691 S Business Highway 65, Hollister, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710998851 | NPI | - | NPPES |
DF3458 | Other | RR MCR | |
507427300 | Medicaid | MO | |
CH2570 | Other | RR MCR |
Mailing Address | Practice Location Address |
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Po Box 147, Hollister, MO 65673-0147 Ph: (417) 336-3210 | 1691 S Business Highway 65, Hollister, MO 65672-6342 Ph: (417) 336-3210 |
Dr. John Orville Roller, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1691 S Bus Hwy 65, Hollister, MO 65672 Phone: 417-336-3210 Fax: 417-336-3201 |