Taylor Roggenbaum

NPI #1922816123 in Bradford, Pennsylvania

Provider Information

NPI Number: 1922816123
Entity Type: Individual
Name: Taylor Roggenbaum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist/Technologist
Enumeration Date: Dec 20, 2024
Last Updated: Dec 20, 2024

Practice Location

Address: 50 LANGMAID LN
City: Bradford
State: Pennsylvania
ZIP Code: 16701-3930
Phone: (800) 804-9961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist	235500000X	Primary

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