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Individual

DR. STEPHEN R FAVROT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
833 SAINT VINCENTS DR, SUITE 402, BIRMINGHAM, AL 35205-1606
(205) 933-9236
(205) 933-9236
Mailing address
833 SAINT VINCENTS DR, SUITE 402, BIRMINGHAM, AL 35205-1606
(205) 933-9236
(205) 933-9213

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
19754
AL
207Y00000X
Otolaryngology Physician
Primary
19754
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000026628
AL
Enumeration date
03/14/2007
Last updated
02/11/2015
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