Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Roller, MD

Individual provider Pediatrics Physician · NPI 1912925140

Charles Roller, MD is a Pediatrics Physician in Mesa, Arizona. Licensed in Arizona and Missouri. Registered with an NPI since 2006.

Licensed in
AZ, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10720 E Southern Ave Ste 116
Mesa, AZ 85209-3810
Phone: (480) 365-0050
Fax: (480) 365-0049
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Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 42322 (AZ)
Pediatrics Physician Taxonomy 208000000X · Licence R4P75 (MO)

Record details

NPI number1912925140
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESNovember 25, 2014
Mailing address10720 E Southern Ave, Suite 116, Mesa, AZ 85209-3810

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