Individual
DR. STEPHEN RONALD DOUGLAS BO BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2124 4TH AVE S, BIRMINGHAM, AL 35233-2204
(205) 731-9090
Mailing address
2124 4TH AVE S, BIRMINGHAM, AL 35233-2204
(205) 731-9090
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
31321
AL
Other
Enumeration date
06/19/2007
Last updated
12/29/2016
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