NPI 1063606937

Charles Roggow, ATC

Practitioner Athletic Trainer Pukalani, HI

Practice location

Address: 270 a 'Apueo Parkway, Pukalani, HI 96768
Phone: (808) 573-7108
Mailing address: 124 Aleiki Pl, Paia, HI 96779-9716

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2255A2300X (HI)

Other Specialist/Technologist providers in Hawaii →

Registry record

NPI: 1063606937
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Sep 2007
Record last updated: 4 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.