Individual
DR. JUSTIN DALE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
395 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 293-8315
(614) 293-6935
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8315
(614) 293-6935
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2010-00065
NC
2085R0202X
Diagnostic Radiology Physician
Primary
35.123376
OH
2085R0202X
Diagnostic Radiology Physician
Primary
35123376
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H320920
MEDICARE
OH
Enumeration date
08/14/2008
Last updated
03/06/2026
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