ROGER MARK LIST

COLUMBUS, OH
NPI1215223995
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: OH  APRN.CNP.12375)
Enumeration Date2011-06-22
Last Update Date2019-01-28
Business Address
Mr. ROGER MARK LIST APRN-CNP
460 W 10TH AVE
COLUMBUS, OH 43210
Phone number: 614-293-5502
Mailing Address
Mr. ROGER MARK LIST APRN-CNP
700 ACKERMAN RD SUITE 570
COLUMBUS, OH 43202-1559
Phone number: 614-293-9450