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NPI Code Detail

MEDICARE: MR. JOSEPH W STENGER PA-C

MEDICARE:  MR. JOSEPH W STENGER  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant2370OH

General Provider Information

NPI Number : 1558310094
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH W STENGER PA-C
Provider Business Mailing Address
First Line : 4685 FOREST AVE STE C
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-3359
Country : US
Telephone Number : 513-246-7796
Fax Number : 513-852-8525
Provider Business Practice Location Address
First Line : 7810 5 MILE RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45230-2356
Country : US
Telephone Number : 513-246-7000
Fax Number : 513-246-2876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 09/08/2014

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Directions to “ MR. JOSEPH W STENGER PA-C” Practice Location

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