Individual
TIMOTHY JACOB MOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1577 NEIL AVE, COLUMBUS, OH 43210-1216
(614) 292-4041
Mailing address
1577 NEIL AVE, COLUMBUS, OH 43210-1216
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
RN.478543
OH
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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