Individual
DR. WAYNE B STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
15255 HIGHWAY 43, RUSSELLVILLE, AL 35653-1924
(256) 332-5440
(256) 332-5402
Mailing address
PO BOX 1177, RUSSELLVILLE, AL 35653-1177
(256) 332-5440
(256) 332-5402
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-B82-TA-790
AL
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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