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Individual

STEPHEN KOVACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
466 N CASSADY AVE, COLUMBUS, OH 43209-1027
(614) 440-3593
(614) 944-5722
Mailing address
601 DENMOOR CT, GALLOWAY, OH 43119-8581
(614) 440-3593
(614) 944-5722

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36.003634
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
016004985
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016004985
IL
Enumeration date
01/31/2007
Last updated
06/23/2016
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