Individual
MR. ROGER M LIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
452 W 10TH AVE FL 1, COLUMBUS, OH 43210-1240
(614) 293-5502
(614) 293-7221
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-5502
(614) 293-7221
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.12375
OH
Other
Enumeration date
06/22/2011
Last updated
11/14/2024
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