Individual
CHARLES ROGGOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
270 A 'APUEO PARKWAY, PUKALANI, HI 96768
(808) 573-7108
Mailing address
124 ALEIKI PL, PAIA, HI 96779-9716
(808) 579-8626
(808) 579-8630
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2255A2300X
HI
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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