Individual
MR. STEPHEN MICHAEL ENTREKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
815 RIVERBEND DR, GADSDEN, AL 35901-2556
(256) 456-0228
(256) 456-0231
Mailing address
815 RIVERBEND DR, GADSDEN, AL 35901-2556
(256) 456-0228
(256) 456-0231
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 107
AL
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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