Individual
STEPHEN P. SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
725 BUCKLES CT N STE 210, GAHANNA, OH 43230
(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
207Y00000X
Otolaryngology Physician
239521
NY
207Y00000X
Otolaryngology Physician
35-081746
OH
207Y00000X
Otolaryngology Physician
35081746
OH
207YS0123X
Facial Plastic Surgery Physician
Primary
35-081746
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2387019
—
OH
05
—
2599942
—
OH
Enumeration date
04/22/2006
Last updated
04/12/2022
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