Individual
J. TYLER ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
153 W MAIN ST, SUITE 200, NEW ALBANY, OH 43054-9224
(614) 939-2200
(614) 939-2201
Mailing address
153 W MAIN ST, SUITE 200, NEW ALBANY, OH 43054-9224
(614) 939-2200
(614) 939-2201
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35075846R
OH
208000000X
Pediatrics Physician
Primary
ME129585
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2233050
—
OH
Enumeration date
10/31/2005
Last updated
07/12/2023
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