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Organization

SPS18, LLC

Active
Other names
Smith Facial Plastics
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOYCE A BEITZINGER (PRACTICE MANAGER)
(614) 245-4263
Entity
Organization

Contact information

Practice address
725 BUCKLES CT N STE 210, GAHANNA, OH 43230-6884
(614) 245-4263
(614) 245-4269
Mailing address
725 BUCKLES CT N STE 210, GAHANNA, OH 43230-6884
(614) 245-4263
(614) 245-4269

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
35081746
OH

Other

Enumeration date
10/13/2014
Last updated
04/06/2021
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