Individual
DR. STEPHEN ANDREW SPOONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 BURNET AVE, ML-2007, CINCINNATI, OH 45229-3026
(513) 803-0121
(513) 636-2477
Mailing address
3333 BURNET AVE, ML-2007, CINCINNATI, OH 45229-3026
(513) 803-0121
(513) 636-2477
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
20261
TN
208000000X
Pediatrics Physician
Primary
35.089200
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3854097
—
TN
Enumeration date
05/01/2006
Last updated
01/18/2011
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