Individual
DR. JONATHAN STIDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1007 GOODYEAR AVE, GADSDEN, AL 35903-1195
(334) 284-5211
Mailing address
2055 E SOUTH BLVD STE 200, MONTGOMERY, AL 36116-2002
(334) 284-5211
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD.36365
AL
Other
Enumeration date
05/07/2013
Last updated
07/12/2019
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