NPI 1073743399

Roller Weight Loss Institute,inc.

Organisation Specialist Fayetteville, AR

Practice location

Address: 1695 E Rainforest Rd, Fayetteville, AR 72703-5385
Phone: (479) 445-6460
Fax: (479) 445-6719

Authorised official

Name: Joshua Ernest Roller
Title: President/Ceo
Phone: (479) 445-6460

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence E5193 (AR)

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Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X

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Registry record

NPI: 1073743399
Entity type: Organization
NPI issued: 21 Jul 2009
Record last updated: 6 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.