IndividualActive
Allyson Roser, PA
NPI 1639678451 · Physician Assistant · Belleville, IL
Provider details
- NPI number
- 1639678451
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 085.006541 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4600 Memorial Dr Ste W3
Belleville, IL 62226-5359
Phone: (618) 222-8900
Fax: (618) 416-4449
Approximate (ZIP-level) locationGet directions
Mailing address
4600 Memorial Dr Ste W3
Belleville, IL 62226-5359
Registry dates
- Enumerated
- 2018-02-07
- Last updated
- 2021-04-07
- Certified
- 2021-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.