Individual
MR. ROGER R HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
316 SHERMAN ST, WATERTOWN, NY 13601-3614
(315) 786-8973
(315) 786-7993
Mailing address
316 SHERMAN ST, WATERTOWN, NY 13601-3614
(315) 786-8973
(315) 786-7993
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02386432
—
NY
Enumeration date
10/20/2005
Last updated
05/14/2009
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