Individual
RUSSELL WAYNE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5100 RANGELINE SERVICE RD N, MOBILE, AL 36619-9504
(251) 661-4454
(251) 666-3166
Mailing address
5320 HIGHWAY 90 W, MOBILE, AL 36619-4202
(251) 666-8232
(251) 661-1302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00026655
AL
Other
Enumeration date
07/31/2006
Last updated
08/12/2008
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