Individual
STEPHEN E SANDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 GOVERNORS DR SW FL 1, HUNTSVILLE, AL 35801
(256) 533-1600
(256) 539-0856
Mailing address
201 GOVERNORS DR SW FL 1, HUNTSVILLE, AL 35801-5171
(256) 533-1600
(565) 390-8562
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
281802-1
NY
207T00000X
Neurological Surgery Physician
Primary
37118
AL
363AS0400X
Surgical Physician Assistant
PA722
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000243993
BCBS PIN #
KY
05
—
216388
—
AL
05
—
216493
—
AL
05
—
216728
—
AL
05
—
9500292900
—
KY
01
—
970028451
RR MCARE
KY
Enumeration date
02/07/2006
Last updated
07/05/2018
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