Individual
LISTON STEPHEN JONES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00006675
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000018020
—
AL
01
—
0410322
UNITED HEALTHCARE
AL
01
—
051018020
BCBS
AL
Enumeration date
07/13/2005
Last updated
09/19/2011
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