Individual
DR. ROGER D FELLOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
67-1125 MAMALAHOA HWY, KAMUELA, HI 96743-8496
(808) 881-4881
Mailing address
68-1375 S PAUOA RD APT Q1, KAMUELA, HI 96743-8726
(808) 885-7025
(808) 885-7025
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
149047-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03831
—
UT
Enumeration date
09/29/2005
Last updated
03/22/2009
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