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Individual

DR. STEPHEN THOMAS IKARD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
305 PAUL W BRYANT DR E, TUSCALOOSA, AL 35401-2055
(205) 345-0192
(205) 345-7341
Mailing address
PO BOX 2447, TUSCALOOSA, AL 35403-2447
(205) 345-0192
(205) 247-2878

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD33310
AL
207X00000X
Orthopaedic Surgery Physician
ME117010
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009398600
FL
Enumeration date
04/14/2008
Last updated
08/12/2014
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