Provider Demographics
NPI:1821024969
Name:PFISTER, ROGER ALLEN JR (ATC)
Entity Type:Individual
Prefix:MR
First Name:ROGER
Middle Name:ALLEN
Last Name:PFISTER
Suffix:JR
Gender:M
Credentials:ATC
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Mailing Address - Street 1:2836 HENSLOWE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-2677
Mailing Address - Country:US
Mailing Address - Phone:919-546-8222
Mailing Address - Fax:919-546-8444
Practice Address - Street 1:118 E SOUTH ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601-2341
Practice Address - Country:US
Practice Address - Phone:919-546-8222
Practice Address - Fax:919-546-8444
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer