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Individual

STEPHEN DALE BRAWNER

Active
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Individual

STEPHEN DALE BRAWNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00010422
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009933391
AL
05
113662
AL
05
113666
AL
01
51531214
BCBS AL
AL
01
51532470
BCBS AL
AL
01
51532471
BCBS AL
AL
01
51532472
BCBS AL
AL
01
51532473
BCBS AL
AL
Enumeration date
05/11/2006
Last updated
12/30/2015
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