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Individual
DR. STEPHEN DONALD MALLARD
Active
Individual
DR. STEPHEN DONALD MALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
00019373
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051032090
BLUE SHIELD OF ALABAMA
AL
01
—
051032095
BLUE SHIELD OF ALABAMA
AL
01
—
051513704
BLUE SHIELD OF ALABAMA
AL
01
—
051513705
BLUE SHIELD OF ALABAMA
AL
01
—
051516185
BLUE SHIELD OF ALABAMA
AL
01
—
051520380
BLUE SHIELD OF ALABAMA
AL
01
—
051528591
BLUE SHIELD OF ALABAMA
AL
05
—
303700331
—
AL
05
—
303710331
—
AL
05
—
303720331
—
AL
05
—
303730331
—
AL
05
—
303740331
—
AL
05
—
303760331
—
AL
05
—
303790331
—
AL
Enumeration date
02/02/2006
Last updated
02/18/2011
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