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Individual

BRAD LAMONT STEENWYK

Active
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Individual

BRAD LAMONT STEENWYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23506
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009952235
—
AL
05
—
009952245
—
AL
05
—
009952255
—
AL
05
—
009961035
—
AL
01
—
051522441
BLUE CROSS
AL
01
—
051522442
BLUE CROSS
AL
01
—
051522443
BLUE CROSS
AL
01
—
051522889
BLUE CROSS
AL
01
—
09875390
MISSISSIPPI MEDICAID
MS
05
—
1307467
—
LA
01
—
P00184071
RAILROAD MEDICARE
AL
Enumeration date
07/18/2006
Last updated
07/12/2011
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