Organization
AZALEA CITY PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN R SHEPPARD M.D. (OWNER)
(251) 344-1151
Entity
Organization
Contact information
Practice address
101 MEMORIAL HOSPITAL DR, BLDG #3 SUITE #309, MOBILE, AL 36608-1786
(251) 344-1151
(251) 344-2113
Mailing address
101 MEMORIAL HOSPITAL DR, BLDG #3 SUITE #309, MOBILE, AL 36608-1786
(251) 344-1151
(251) 344-2113
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AL10348
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194832360
DR STEPHEN R SHEPPARD NPI
AL
01
—
17398
BCBSAL PROVIER #
AL
Enumeration date
04/29/2008
Last updated
04/29/2008
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