Individual
DONALD OWEN MAUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1581 DODD DR, COLUMBUS, OH 43210-1257
(614) 293-2101
(614) 293-9155
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-2101
(614) 293-9155
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.000677
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164506
—
OH
Enumeration date
11/08/2006
Last updated
09/24/2021
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