Individual
STEVE E WAMPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
351 HWY 64, KILLEN, AL 35645
(256) 272-8066
(256) 272-8375
Mailing address
115 W KIMBERLY DRIVE, MCCRORY, AR 72101-8539
(870) 731-0640
(870) 731-0655
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
15354
AL
207Q00000X
Family Medicine Physician
Primary
15354
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000087706
—
AL
05
—
009941493
—
AL
01
—
051087706
BCBSA
AL
01
—
051538997
BLUE CROSS
AL
Enumeration date
08/12/2005
Last updated
07/20/2021
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