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Individual

FREDERICK HANSEN STEVENS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7850 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-2224
(256) 882-0132
(256) 882-1461
Mailing address
7850 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-2224
(256) 882-0132
(256) 882-1461

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12389
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051511094
BLUE CROSS BLUE SHIELD
AL
01
080194993
RAILROAD MEDICARE
AL
Enumeration date
03/02/2006
Last updated
06/06/2022
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