Individual
JACOB ROBERT STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2989
(513) 585-2000
Mailing address
2139 AUBURN AVE, CINCINNATI, OH 45219-2989
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35.147765
OH
390200000X
Student in an Organized Health Care Education/Training Program
4301114978
MI
Other
Enumeration date
05/22/2018
Last updated
05/31/2023
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