Individual
MR. STEVEN PHILLIP LAUBENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1026 GOODYEAR AVE, BUILDING 400 SUITE 302, GADSDEN, AL 35903-1194
(256) 492-7246
(256) 492-6146
Mailing address
1026 GOODYEAR AVE, BUILDING 400 SUITE 302, GADSDEN, AL 35903-1194
(256) 492-7246
(256) 492-6146
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-414
AL
363AS0400X
Surgical Physician Assistant
PA-414
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009934051
—
AL
01
—
51525980
BLUE CROSS
AL
Enumeration date
08/23/2006
Last updated
08/06/2009
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