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Individual

STEPHANIE QUACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2857 W BROAD ST, COLUMBUS, OH 43204-2643
(614) 722-6200
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-6200

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.138647
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35.138647
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0394311
OH
Enumeration date
03/23/2017
Last updated
04/16/2026
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