Charles S. Bogan

Specialty details in registry · Warrensville Heights, OH

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At a glance

4656 Walford Rd, Warrensville Heights, OH 44128-7153

NPPES record updated Sep 1, 2016. Public records can lag behind changes at a practice.

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Practice location

4656 Walford Rd Apartment 114
Warrensville Heights, OH 44128-7153
Professional details: NPI, taxonomy & registry record
NPI1245787654
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
3140N1450X
Enumeration date
Sep 1, 2016
Record updated
Sep 1, 2016
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

311ZA0620X

License reported: PN.127610 OH

Specialty details in registry

3140N1450X · Primary

License reported: PN.127610 OH

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4656 Walford Rd
Apartment 114
Warrensville Heights, OH 44128-7153
Phone
(216) 804-6678
Mailing address
4656 WALFORD RD
APARTMENT 114
WARRENSVILLE HEIGHTS, OH 441287153
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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