Individual
DR. GREGORY W STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2123 AUBURN AVE, #404, CINCINNATI, OH 45219-2906
(513) 241-5630
(513) 241-7146
Mailing address
2123 AUBURN AVE, #404, CINCINNATI, OH 45219-2906
(513) 241-5630
(513) 241-7146
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
27566
KY
207RN0300X
Nephrology Physician
Primary
35-05-3679-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0630124
—
OH
05
—
100324150
—
IN
01
—
390007100
MEDICARE RAILROAD
OH
05
—
64787211
—
KY
Enumeration date
06/16/2006
Last updated
08/07/2012
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