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Individual

STEPHEN W SAMELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
454 TAYLOR RD, MONTGOMERY, AL 36117-3563
(334) 613-9000
(334) 532-0056
Mailing address
454 TAYLOR RD, MONTGOMERY, AL 36117-3563
(334) 613-9000
(334) 532-0056

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
00021227
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000097168
AL
05
009963920
AL
05
009963930
AL
05
009963940
AL
01
0910392
UNITED HEALTHCARE
AL
01
200039175
RAILROAD MEDICARE
01
510-97168
BCBS
AL
01
515-02207
BCBS
AL
01
515-02603
BCBS
AL
01
515-03737
BCBS
AL
Enumeration date
03/23/2006
Last updated
03/27/2014
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