Individual
MR. IAN MICHAEL ROGOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1301 COLLEGE AVE, FREDERICKSBURG, VA 22401
(540) 654-1872
(540) 654-1892
Mailing address
7105 WYTHEVILLE CIRCLE, FREDERICKSBURG, VA 22407
(434) 242-2318
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
10/21/2016
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