Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 1831 | OH |
NPI | 1306975990 |
---|---|
Provider Name | Dr. John Charles Stephens |
First Address | Hilliard, OH 43026-9188 |
Second Address | Hilliard, OH 43026-9188 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2007 |
Last Update Date | 08/07/2007 |