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Individual

JEFFERY L STAMBOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4600 SMITH RD, SUITE B, NORWOOD, OH 45212-2793
(513) 221-4848
(513) 872-7825
Mailing address
4685 FOREST AVE, STE C, CINCINNATI, OH 45212-3359
(513) 853-4749
(513) 853-4740

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35053396
OH
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
35053396
OH
207XS0117X
Orthopaedic Surgery of the Spine Physician
35053396
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0632202
OH
Enumeration date
11/23/2005
Last updated
04/15/2016
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