Individual
MR. RICHARD LEE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
833 PRINCETON AVE SW, 200A, BIRMINGHAM, AL 35211
(205) 786-2776
(205) 786-6227
Mailing address
833 PRINCETON AVE SW, 200A, BIRMINGHAM, AL 35211
(205) 786-2776
(205) 786-6227
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9102484
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291699100
—
FL
01
—
P00203381
RAILROAD MEDICARE
—
Enumeration date
04/12/2006
Last updated
12/03/2014
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