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Individual

DR. WILLIAM BRADFORD STEPHENS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3334 CAPITAL MEDICAL BLVD, SUITE 400, TALLAHASSEE, FL 32308-4470
(850) 877-8174
(850) 877-5636
Mailing address
3334 CAPITAL MEDICAL BLVD, SUITE 400, TALLAHASSEE, FL 32308-4470
(850) 877-8174
(850) 877-5636

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
65899
GA
207X00000X
Orthopaedic Surgery Physician
ME100799
FL
207XS0106X
Orthopaedic Hand Surgery Physician
65899
GA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME100799
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003109254B
GA
05
003504500
FL
01
14C0L
BCBS
FL
01
2858368
BEECHSTREE
FL
01
45632
UNIVERSAL
FL
01
593598056
NOVANET
GA
01
9013722
AETNA
FL
01
FJ692Z
MEDICARE
FL
Enumeration date
10/25/2006
Last updated
11/24/2021
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