Individual
DR. STEPHEN THOMAS IKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 PAUL BRYANT DR E, TUSCALOOSA, AL 35401-2094
(205) 345-0192
(205) 247-2194
Mailing address
305 PAUL BRYANT DR E, TUSCALOOSA, AL 35401-2094
(205) 345-0192
(205) 247-2194
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11835
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51013995
BLUE CROSS BLUE SHIELD
AL
01
—
51517527
BLUE CROSS BLUE SHIELD
AL
01
—
51517528
BLUE CROSS BLUE SHIELD
AL
01
—
51525787
BLUE CROSS BLUE SHIELD
AL
Enumeration date
05/16/2006
Last updated
07/08/2007
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