Individual
ZACHARY ROGGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 EXECUTIVE DR STE 102, RALEIGH, NC 27609-7476
(919) 821-5221
Mailing address
3400 EXECUTIVE DR STE 102, RALEIGH, NC 27609-7476
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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